DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER (NPI# 1932594272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932594272 |
| Entity Type | Organization |
| Organization Name | DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER |
| Other Organization Name | METROCARE PHARMACY AT GREENVILLE |
| Practice Address |
4200 Stuart St Attn: Pharmacy Dept. Greenville TX 75401-5759 |
| Mailing Address |
4200 Stuart St Attn: Pharmacy Dept. Greenville TX 75401 |
| Practice Telephone | 9723316330 |
| Practice Fax Number | 2147431209 |
| Mailing Telephone | 9723316330 |
| Mailing Fax Number | 2147431209 |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | MORDECHAI EDERY (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 2147436180 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
29904 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2151158 | 01 |
| Other Name | Type Code |
|---|---|
| Metrocare Pharmacy at Greenville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861866568 | Dallas County Mental Health & Mental Retardation Center | Pharmacy | 5372 Fredericksburg Rd Ste 110, San Antonio, TX 78229-3559 | 2015-11-18 |
| 1023410024 | Dallas County Mental Health & Mental Retardation Center | Pharmacy | 16160 Midway Rd Ste 200, Attn: Pharmacy, Addison, TX 75001-4202 | 2014-09-22 |
| 1093114134 | Dallas County Mental Health & Mental Retardation Center | Pharmacy | 832 S Carrier Pkwy, Attn: Pharmacy, Grand Prairie, TX 75051-0942 | 2014-08-14 |
| 1932389038 | Dallas County Mental Health & Mental Retardation Center | Pharmacy | 7304 Alma Dr, Plano, TX 75025-3563 | 2007-11-07 |
| 1023239886 | Dallas County Mental Health & Mental Retardation Center | Clinic/Center | 1345 River Bend Dr Ste 200, Dallas, TX 75247-6945 | 2007-05-01 |
| 1366539272 | Dallas County Mental Health & Mental Retardation Center | Pharmacy | 2600 N Stemmons Fwy Ste 151, Dallas, TX 75207-2111 | 2006-10-10 |
| 1821185026 | Dallas County Mental Health & Mental Retardation Center | Pharmacy | 4645 Samuell Blvd Ste 107, Dallas, TX 75228-6826 | 2006-10-07 |
| 1407243306 | Dallas County Mental Health & Mental Retardation Center | Pharmacy | 9708 Skillman St, Dallas, TX 75243-5150 | 2015-04-20 |
| 1912094111 | Dallas County Mental Health & Mental Retardation Center | Pharmacy | 3330 S Lancaster Rd, Dallas, TX 75216-4531 | 2006-10-07 |
| 1104910413 | Dallas County Mental Health & Mental Retardation Center | Pharmacy | 1350 N Westmoreland Rd, Dallas, TX 75211-1654 | 2006-10-03 |
| Street Address |
4200 STUART ST ATTN: PHARMACY DEPT. |
| City | GREENVILLE |
| State | TX |
| Zip Code | 75401-5759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851459374 | Kimberly J Snell | Counselor | 4200 Stuart St, Greenville, TX 75401-5759 | 2006-12-05 |
| 1700423928 | Amy Weems | Counselor | 4200 Stuart St, Greenville, TX 75401-5759 | 2019-12-06 |
| 1457901811 | Sravanthi Sabbineni | Pharmacist | 4200 Stuart St, Greenville, TX 75401-5759 | 2019-09-18 |
| 1558916502 | Live Well Pharmacy LLC | Pharmacy | 4200 Stuart St, Greenville, TX 75401-5759 | 2019-08-07 |
| 1376008391 | Leslye Vaughan | Counselor | 4200 Stuart St, Greenville, TX 75401-5759 | 2019-02-04 |
| 1740788736 | Yvonne Raffini | Counselor | 4200 Stuart St, Greenville, TX 75401-5759 | 2018-01-25 |
| 1609383777 | Jeffery Holt | Counselor | 4200 Stuart St, Greenville, TX 75401-5759 | 2018-01-10 |
| 1427565225 | David Kistenmacher | Counselor | 4200 Stuart St, Greenville, TX 75401-5759 | 2018-01-03 |
| 1164580684 | Rod R Ryder | Counselor | 4200 Stuart St, Greenville, TX 75401-5759 | 2006-12-05 |
| 1700944337 | Gekita M Jordan | Counselor | 4200 Stuart St, Greenville, TX 75401-5759 | 2006-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653512 | Steven Wolanski | Occupational Therapy Assistant | Greenville Gardens Snf 3500 Park St., Greenville, TX 75401 | 2018-09-18 |
| 1184125460 | Heather Rae Hudson | Registered Nurse | 4911 Henry St, Greenville, TX 75401 | 2018-02-22 |
| 1154864742 | Kimberly Elaine Middleton | Nurse Practitioner | 4211 Joe Ramsey Blvd E Ste 105, Greenville, TX 75401 | 2016-11-30 |
| 1013373885 | Paul Brancheau | Podiatrist | 3900 Joe Ramsey Blvd E Bldg 5, Greenville, TX 75401 | 2016-01-11 |
| 1982079331 | Foresight Home Healthcare Incorporated | Home Health | 2102 Frazier Street, Greenville, TX 75401 | 2015-12-10 |
| 1083018451 | Johnny Sanders Jr. | Nurse's Aide | 1705 Northwest Hwy, Garland, TX 75401 | 2014-10-14 |
| 1942620299 | Robert Chandler Duckworth | Counselor | 4216 Wesley Street, Suite 700, Greenville, TX 75401 | 2014-04-24 |
| 1164843645 | Erica Rae Crawford | Psychologist | 3101 Joe Ramsey Boulevard, Suite 103a, Greenville, TX 75401 | 2013-12-30 |
| 1215225057 | Jordan Kelsi Mahan | Nurse Practitioner | 4101 Wesley St Ste D, Greenville, TX 75401 | 2011-07-14 |
| 1477888196 | Johnny Johnson | Physician Assistant | 4211 Joe Ramsey Blvd, Suite 100, Greenville, TX 75401 | 2009-10-14 |
| Find all providers in zip 75401 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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 |
|---|---|---|---|---|
| 1770622797 | East Carolina University | Pharmacy | 270 Easy St, Greenville, NC 27834-9012 | 2007-02-06 |
| 1043460520 | East Carolina University Brody School of Medicine- Pharmacy Services | Pharmacy | 600 Moye Blvd, Lake Side Annex #1, Room 9, Greenville, NC 27834-4300 | 2008-09-22 |
| 1942350392 | East Carolina University | Pharmacy | 517 Moye Blvd, Greenville, NC 27834-2849 | 2007-01-10 |
| 1386709194 | Family Health Services of Darke County | Pharmacy | 5735 Meeker Rd, Greenville, OH 45331-1180 | 2006-12-22 |
| 1669589230 | East Carolina University | Pharmacy | 600 Moye Blvd, Room 240, Greenville, NC 27834-4300 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695471 | Lone Star Community Health Center, Inc. | Pharmacy | 227 State Highway 75 N Ste 130, Huntsville, TX 77320-3171 | 2020-09-28 |
| 1508428046 | Pharmacore Consulting Group | Pharmacy | 2440 Texas Pkwy Ste 380, Missouri City, TX 77489-4000 | 2019-07-05 |
| 1245894682 | Burke Center | Pharmacy | 1522 W Frank Ave Ste 109, Lufkin, TX 75904-3334 | 2019-04-30 |
| 1578053591 | Corpus Christi Urology Group, Pllc | Pharmacy | 601 Texan Trl Ste 100a, Corpus Christi, TX 78411-2548 | 2018-05-15 |
| 1174023493 | Pristinerx Consulting LLC | Pharmacy | 12046 Giddings Dr, Frisco, TX 75035-8874 | 2018-02-13 |
| 1649704396 | North Central Texas Community Health Care Center, Inc | Pharmacy | 1301 3rd St Ste 100, Wichita Falls, TX 76301-2245 | 2017-04-19 |
| 1053859306 | Metabolic Therapy Inc. | Pharmacy | 4103 Avenue D, Austin, TX 78751 | 2017-02-07 |
| 1407394992 | Bsa Amarillo Diagnostic Clinic | Pharmacy | 6700 W 9th Ave Ste C, Amarillo, TX 79106-1729 | 2017-02-06 |
| 1659700540 | Familia Care Inc | Pharmacy | 10058 A. Long Point, Houston, TX 77055 | 2013-11-01 |
| 1376971499 | Planned Parenthood of Greater Texas | Pharmacy | 9100 N Central Expy # 169, Dallas, TX 75231-5922 | 2013-10-29 |
| Find all providers with the same taxonomy | ||||
| City | GREENVILLE |
| Zip Code | 75401 |
Please comment or provide details below to improve the information on DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER.
| 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.