DAVITA RX LLC (NPI# 1538196969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538196969 |
| Entity Type | Organization |
| Organization Name | DAVITA RX LLC |
| Other Organization Name | DAVITA RX |
| Practice Address |
1234 Lakeshore Dr Ste 200 Coppell TX 75019-4971 |
| Mailing Address |
1234 Lakeshore Dr Ste 200 Coppell TX 75019-4980 |
| Practice Telephone | 9725388100 |
| Practice Fax Number | 8666270791 |
| Mailing Telephone | 8666671776 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2017-12-04 |
| Authorized Official Name | PATRICK MCKINNON (PRESIDENT) |
| Authorized Official Telephone | 3038762857 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 25049 | TX | Suppliers |
| N | 333600000X | Pharmacy | 25049 | TX | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
25049 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 191735301 | 05 | |
| TX | 145699 | 05 | |
| PK | 2099203 | 01 |
| Other Name | Type Code |
|---|---|
| DAVITA RX | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922012491 | Davita Rx LLC | Durable Medical Equipment & Medical Supplies | 1178 Cherry Ave, San Bruno, CA 94066-2302 | 2006-07-28 |
| 1992737779 | Davita Rx LLC | Pharmacy | 2252 Commerce Park Dr Ste 350, Orlando, FL 32819-8609 | 2006-07-06 |
| Street Address |
1234 LAKESHORE DR STE 200 |
| City | COPPELL |
| State | TX |
| Zip Code | 75019-4971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013241272 | Arthur C Solomon | Pharmacist | 1234 Lakeshore Dr, Suite 200, Coppell, TX 75019-4971 | 2009-09-21 |
| 1467851329 | Derrica Walker | Pharmacist | 1234 Lakeshore Dr, Coppell, TX 75019-4971 | 2014-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366065997 | Siai, Pllc | Pain Medicine | 149 E State Highway 121, Suite 105, Coppell, TX 75019 | 2020-05-18 |
| 1609498146 | Carie Medical Group (de), P.a. | Internal Medicine | 8951 Cypress Waters Blvd., Suite 160-1045, Dallas, TX 75019 | 2020-05-07 |
| 1154981983 | Coe Dentistry Pllc | Dentist | 137 Sh 121, Ste 110, Coppell, TX 75019 | 2019-06-14 |
| 1831655695 | Nicole Erhart | Physical Therapist | 3100 Olympus Blvd, Suite 500, Dallas, TX 75019 | 2019-02-18 |
| 1780140467 | Leah Faith Fifelski | Physical Therapist | 3100 Olympus Blvd. Suite 500, Dallas, TX 75019 | 2019-02-18 |
| 1780140988 | Living Euphoria, LLC | Community/Behavioral Health | 106 N Denton Tap Rd Ste 210 #151, Coppell, TX 75019 | 2019-02-13 |
| 1982176954 | Katie Cunningham | Physical Therapist | 3100 Olympus Blvd Ste 500, Coppell, TX 75019 | 2019-01-01 |
| 1659853000 | Shelley Kniss | Licensed Vocational Nurse | 1717 E Beltline Rd Apt 1323, Coppell, TX 75019 | 2018-09-02 |
| 1881197705 | Natasha Paulina Boylan | Speech-Language Pathologist | 370 W Highway 121, Ste. 105, Coppell, TX 75019 | 2018-03-16 |
| 1407354392 | Mahvash Roya Soltani | Nurse Practitioner | 1323 Barrington Dr., Coppell, TX 75019 | 2018-01-25 |
| Find all providers in zip 75019 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306940101 | Cvs Pharmacy Inc | Pharmacy | 290 N Denton Tap Rd, Coppell, TX 75019-2903 | 2006-09-12 |
| 1225568058 | Innovia Rx LLC | Pharmacy | 580 S Denton Tap Rd Ste 120, Coppell, TX 75019-4099 | 2017-06-14 |
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| 1629679717 | Edith Achebodt | Pharmacy | 2233 Avenue J Ste 103b, Arlington, TX 76006-5884 | 2020-11-04 |
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| 1154921864 | Mbepe Health LLC | Pharmacy | 301 S 9th St Ste 121, Richmond, TX 77469-3448 | 2020-10-30 |
| 1639779366 | Mens African Investors | Pharmacy | 6355 S Peek Rd Ste 300, Katy, TX 77450-7195 | 2020-10-30 |
| 1861091977 | A Medizona Pharmacy | Pharmacy | 3700 Barker Cypress Rd, Suite 700, Houston, TX 77084 | 2020-10-20 |
| 1952900078 | Nudo Pharmacy LLC | Pharmacy | 104 Industrial Blvd Ste 201, Sugar Land, TX 77478-3174 | 2020-10-20 |
| 1194324277 | Rite Scripts Pharmacy Inc | Pharmacy | 13835 Westhollow Park Dr Apt 2805, Houston, TX 77082-1885 | 2020-10-20 |
| 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.