IDEAL SPECIALTY PHARMACY, LLC (NPI# 1760904932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760904932 |
| Entity Type | Organization |
| Organization Name | IDEAL SPECIALTY PHARMACY, LLC |
| Other Organization Name | PROFESSIONAL PHARMACY PLUS |
| Practice Address |
2771 Sherman St Suite B Grand Prairie TX 75051-6018 |
| Practice Telephone | 9728090984 |
| Practice Fax Number | 9728090986 |
| Mailing Telephone | 9728090984 |
| Mailing Fax Number | 9728090986 |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2019-07-19 |
| Authorized Official Name | VIN NGUYEN (DIRECTOR) |
| Authorized Official Telephone | 9728090984 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
31460 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE LIC | 31460 | 01 |
| TX | NCPDP | 5921665 | 01 |
| TX | DEA | FP6894299 | 01 |
| Other Name | Type Code |
|---|---|
| Professional Pharmacy Plus | Doing Business As Name - Organization |
| Street Address |
2771 SHERMAN ST SUITE B |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75051-6018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083775159 | Sunrise Care Inc | Pharmacy | 2771 Sherman St, Suite B, Grand Prairie, TX 75051-6016 | 2006-12-13 |
| 1962881441 | Dfw Family Clinic | Physician Assistant | 2771 Sherman St, Grand Prairie, TX 75051-6016 | 2015-05-29 |
| 1811228851 | Dfw Family Clinic | Family Medicine | 2771 Sherman St, Grand Prairie, TX 75051-6016 | 2010-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750940342 | Laura Burdette | Counselor | 2801 Oster Dr., Building A Suite 300, Grand Prairie, TX 75051 | 2019-06-07 |
| 1871087460 | Cam Chau Huynh | Pharmacist | 2615 W Pioneer Pwky Suite 139, Grand Prairie, TX 75051 | 2018-06-18 |
| 1710416060 | Squeece Services LLC | Private Vehicle | 2304 Oak Ln Dr Suite 201, Grand Prairie, TX 75051 | 2017-06-09 |
| 1477000883 | Marshall Anderson | Specialist/Technologist | 101 Gopher Boulevard, Grand Prairie, TX 75051 | 2016-09-01 |
| 1932570934 | By His Grace Housecalls Inc | Nurse Practitioner | 2305 Oak Ln Ste 106, Grand Prairie, TX 75051 | 2015-10-15 |
| 1225453921 | Perfection Housecalls of Texas LLC | Nurse Practitioner | 2755 Furlong Dr, Grand Prairie, TX 75051 | 2014-03-04 |
| 1669619300 | Parker Health Care Services Inc | Nursing Care | 2305 Oak Lane Ste 211, Grand Prairie, TX 75051 | 2009-01-16 |
| 1861639718 | Jacqueline Lanae Fort | Contractor | 842 Pangburn St, Grand Prairie, TX 75051 | 2009-01-14 |
| 1386841625 | Omolara Abitoye | Pediatrics | 688 W Pioneer Pkwy Ste 120, Grand Prairie, TX 75051 | 2007-06-29 |
| 1750584934 | Mai Tram Phan | Dentist | 2100 S Great Sw Pky, Suite #102, Grand Prairie, TX 75051 | 2007-06-06 |
| Find all providers in zip 75051 | ||||
| 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 |
|---|---|---|---|---|
| 1730644196 | Kenneth Chike Nwankwo | Pharmacy | 2817 Garden Oaks Pl, Grand Prairie, TX 75052-4402 | 2019-02-09 |
| 1528549557 | Wellfort Corporation | Pharmacy | 3950 S Carrier Pkwy Ste 100, Grand Prairie, TX 75052-6671 | 2018-08-27 |
| 1134669070 | Mayfield Pharmacy Inc | Pharmacy | 2451 Robinson Rd Ste 200, Grand Prairie, TX 75051-3978 | 2017-02-25 |
| 1205243086 | Zing Pharmacy LLC | Pharmacy | 2615 W Pioneer Pkwy Ste 139, Grand Prairie, TX 75051-3618 | 2014-07-14 |
| 1407290356 | Premier One Pharma Inc. | Pharmacy | 4927 Lake Ridge Pkwy Ste #180, Grand Prairie, TX 75052 | 2013-04-22 |
| 1083775159 | Sunrise Care Inc | Pharmacy | 2771 Sherman St, Suite B, Grand Prairie, TX 75051-6016 | 2006-12-13 |
| 1619055597 | Minyard Food Stores Inc. | Pharmacy | 2500 S Carrier Pkwy, Grand Prairie, TX 75052-5016 | 2006-11-01 |
| 1508960394 | Cvs Pharmacy Inc | Pharmacy | 810 W Pioneer Pkwy, Grand Prairie, TX 75051-4708 | 2006-09-12 |
| 1568409951 | Walgreen Co. | Pharmacy | 4103 S Great Southwest Pkwy, Grand Prairie, TX 75052-3801 | 2006-06-02 |
| 1215266549 | Pancho Independent Pharmacy, Inc. | Pharmacy | 2985 S Hwy 360, Suite 145, Grand Prairie, TX 75052-6414 | 2009-12-16 |
| Find all providers in GRAND PRAIRIE | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75051 |
Please comment or provide details below to improve the information on IDEAL SPECIALTY PHARMACY, LLC.
| 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.