DEKALB PHARMACY LLC (NPI# 1427052000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427052000 |
| Entity Type | Organization |
| Organization Name | DEKALB PHARMACY LLC |
| Other Organization Name | DE KALB PHARMACY |
| Practice Address |
120 W Front St De Kalb TX 75559-1308 |
| Practice Telephone | 9036670880 |
| Practice Fax Number | 3096670909 |
| Mailing Telephone | 9036670880 |
| Mailing Fax Number | 3096670909 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2017-08-30 |
| Authorized Official Name | MR. JANET J. TIDWELL (CO-OWNER) |
| Authorized Official Telephone | 9036670880 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 23839 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 145478 | 05 |
| Other Name | Type Code |
|---|---|
| De Kalb Pharmacy | Doing Business As Name - Organization |
| Street Address |
120 W FRONT ST |
| City | DE KALB |
| State | TX |
| Zip Code | 75559-1308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669537247 | Christy M. Walls | Pharmacist | 120 W Front St, De Kalb, TX 75559-1371 | 2006-12-26 |
| 1063474807 | Janet Tidwell | Pharmacist | 120 W Front St, De Kalb, TX 75559-1308 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295138055 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 12522 Fm 1840, De Kalb, TX 75559 | 2014-10-07 |
| 1114079001 | Hubbard Independent School District | Local Education Agency (LEA) | 3347 Hwy 259 South, De Kalb, TX 75559 | 2007-01-18 |
| 1306871561 | Save Mart Pharmacy | Durable Medical Equipment & Medical Supplies | 136 N Centre, Dekalb, TX 75559 | 2006-07-12 |
| 1104904044 | David Blair Hodges | Dentist | 109 Oak St, De Kalb, TX 75559-1359 | 2006-11-01 |
| 1285770180 | John Franklin Cary | Pharmacist | 136 N Centre St, De Kalb, TX 75559-1404 | 2007-01-29 |
| 1902978364 | Total Medical Supply | Durable Medical Equipment & Medical Supplies | 216 N Centre St, De Kalb, TX 75559-1406 | 2006-11-14 |
| 1720416308 | Almer Lee Hadaway Jr. | Nurse Practitioner | 216 N Centre St, De Kalb, TX 75559-1406 | 2013-10-17 |
| 1538325519 | Myron Patrick | Technician/Technologist | 109 N Runnels St, De Kalb, TX 75559-1440 | 2008-07-30 |
| 1285879965 | The Optical Shoppe | Eyewear Supplier (Equipment, not the service) | 109 N Runnels St, De Kalb, TX 75559-1440 | 2008-12-09 |
| 1629128707 | De Kalb Independent School District | Local Education Agency (LEA) | 101 Maple St, De Kalb, TX 75559-1613 | 2007-01-11 |
| Find all providers in zip 75559 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
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|---|---|---|---|---|
| 1992305619 | Kasaundra Deleon | Pharmacy | 802 E Us Hwy, Richardson, TX 75081 | 2020-10-30 |
| 1205435138 | N.p. Consultants Viii, LLC | Pharmacy | 2115 Pleasanton Rd Ste 100, San Antonio, TX 78221-1300 | 2020-10-21 |
| 1619575362 | Ava Healthcare LLC | Pharmacy | 1600 W Louisiana St Ste 700, Mckinney, TX 75069-7881 | 2020-10-14 |
| 1174120562 | Medela Pharmacy Inc | Pharmacy | 6550 Mapleridge St Ste 200, Houston, TX 77081-4647 | 2020-10-08 |
| 1891392387 | Scriptdash Inc | Pharmacy | 475 State Highway 121 Byp Ste 150, Lewisville, TX 75067-8154 | 2020-10-07 |
| 1164037594 | Nanes Pharmacy LLC | Pharmacy | 17030 Nanes Dr Ste 105a, Houston, TX 77090-2503 | 2020-09-11 |
| 1528672342 | Still Living LLC | Pharmacy | 5344a N Tarrant Pkwy, Fort Worth, TX 76244-6293 | 2020-08-31 |
| 1407469471 | Scriptdash Inc | Pharmacy | 6201 W Plano Pkwy Ste 400, Plano, TX 75093-4907 | 2020-08-28 |
| 1104439629 | Rxmed Pharmacy Pllc | Pharmacy | 502 N Valley Pkwy Ste 1a, Lewisville, TX 75067-3437 | 2020-08-25 |
| 1265045751 | Homecare Pharmacy LLC | Pharmacy | 8700 S Braeswood Blvd Ste B2, Houston, TX 77031-1338 | 2020-08-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.