SUPER FRISCO PHARMACY LLC (NPI# 1700309325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700309325 |
| Entity Type | Organization |
| Organization Name | SUPER FRISCO PHARMACY LLC |
| Other Organization Name | CENTENNIAL PHARMACY |
| Practice Address |
5350 Independence Pkwy Ste 110a Frisco TX 75035-4652 |
| Practice Telephone | 4696561431 |
| Practice Fax Number | 4696753027 |
| Mailing Telephone | 4696561431 |
| Mailing Fax Number | 4696753027 |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2018-05-31 |
| Authorized Official Name | JACK DEAR (OFFICER) |
| Authorized Official Telephone | 2143578889 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
31520 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 0000 | 05 | |
| TX | 00 | 05 | |
| PK | 2170590 | 01 | |
| TX | 000 | 05 |
| Other Name | Type Code |
|---|---|
| CENTENNIAL PHARMACY | Other Name - Individual/Organization |
| Street Address |
5350 INDEPENDENCE PKWY STE 110A |
| City | FRISCO |
| State | TX |
| Zip Code | 75035-4652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938379 | Passionate Helpers | Home Health | 15922 Eldorado Parkway #500 #561, Frisco, TX 75035 | 2020-10-01 |
| 1740801331 | Jasmine Mathew | Recreation Therapist | 15820 Christopher Lane, Frisco, TX 75035 | 2020-05-05 |
| 1609416288 | James D Browning IIi | Dentist | 14660 Sh 121 Building 300, Frisco, TX 75035 | 2020-01-10 |
| 1376004655 | Prime Choice Urgent Care Pllc | Clinic/Center | 12828 Eldorado Parkway, Frisco, TX 75035 | 2019-03-28 |
| 1922576396 | Bradley Buchwald Dmd | Dentist | 6549 Coit Rd, Ste 124, Frisco, TX 75035 | 2018-11-05 |
| 1780165084 | B and B Optical Management, LLC | Optometrist | 16100 Sh 121, Bldg A, Suite 130, Frisco, TX 75035 | 2018-08-24 |
| 1659851061 | B and B Optical Management, LLC | Optometrist | 16100 Sh 121, Frisco, TX 75035 | 2018-08-15 |
| 1174018568 | Thrive Dental and Orthodontics Pllc | Dentist | 10935 Rolater Rd, #210, Frisco, TX 75035 | 2018-06-27 |
| 1558856054 | Stephanie Scales Gregory | Registered Nurse | 7525 Hickory Street, #205, Frisco, TX 75035 | 2018-06-27 |
| 1073018131 | Frisco Total Wellness Clinic, Pllc | Family Medicine | 14550 Highway 121, Suite 130, Frisco, TX 75035 | 2018-03-29 |
| Find all providers in zip 75035 | ||||
| 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 |
|---|---|---|---|---|
| 1548876691 | Purehealth Pharmacy LLC | Pharmacy | 8750 Main St Ste 204, Frisco, TX 75033-3085 | 2020-09-23 |
| 1457985970 | Lifetimerx LLC | Pharmacy | 255 W Lebanon Ste 200a, Frisco, TX 75036-3411 | 2020-02-24 |
| 1780214114 | The University of Texas Southwestern Medical Center At Dallas | Pharmacy | 12500 Dallas Pwky, Ste 1.200, Frisco, TX 75033 | 2020-01-24 |
| 1457908782 | Twin Rivers Pharmacy, LLC | Pharmacy | 7777 Warren Pkwy Ste 360, Frisco, TX 75034-6549 | 2019-08-21 |
| 1316500952 | Jtma Inc | Pharmacy | 5899 Preston Road, Bldg 6 Ste 602, Frisco, TX 75034 | 2019-04-18 |
| 1518427715 | Cvs Pharmacy Inc | Pharmacy | 1177 Us Hwy 380, Frisco, TX 75068 | 2019-03-22 |
| 1669901856 | Frisco Pharmacy LLC | Pharmacy | 14550 Sh-121, Suite 150, Frisco, TX 75035 | 2017-06-09 |
| 1023403367 | Moike Enterprises LLC | Pharmacy | 9201 Warren Pkwy # 300, Frisco, TX 75035-6202 | 2015-04-03 |
| 1619101185 | Walgreen Co | Pharmacy | 7255 Coit Rd, Frisco, TX 75035-4906 | 2009-05-12 |
| 1699846212 | Parkside Pharmacy | Pharmacy | 6449 Coit Rd Ste 116, Frisco, TX 75035-8670 | 2006-11-13 |
| Find all providers in FRISCO | ||||
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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.