ANDREA DAWN NOVOTNY (NPI# 1982991782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982991782 |
| Entity Type | Individual |
| Full Name | ANDREA DAWN NOVOTNY |
| Credential | PHARMD, RPH |
| Practice Address |
5270 S State Highway 360 Grand Prairie TX 75052-8307 |
| Mailing Address |
4110 Greenwood Way Mansfield TX 76063-5562 |
| Practice Telephone | 4693482101 |
| Mailing Telephone | 8174530556 |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2011-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 41408 | TX | Pharmacy Service Providers |
| Street Address |
5270 S STATE HIGHWAY 360 |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75052-8307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053461301 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 5270 S State Highway 360, Grand Prairie, TX 75052-8307 | 2007-01-11 |
| 1275922270 | Patrick Keith Roberts | Pharmacist | 5270 S State Highway 360, Grand Prairie, TX 75052-8307 | 2015-01-13 |
| 1629323332 | Bamidele Otunuga | Pharmacist | 5270 S State Highway 360, Target Pharmacy (t-2243), Grand Prairie, TX 75052-8307 | 2012-07-18 |
| 1770879272 | Khanh Quoc Le | Pharmacist | 5270 S State Highway 360, Grand Prairie, TX 75052-8307 | 2011-06-22 |
| 1477849370 | Deshawn D. Fontenot | Pharmacist | 5270 S State Highway 360, T-2243, Grand Prairie, TX 75052-8307 | 2011-06-20 |
| 1629384813 | Hansa Anonetapipat LLC | Optometrist | 5270 S State Highway 360, Grand Prairie, TX 75052-8307 | 2010-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487265542 | Beyond Home Health Care LLC | Registered Nurse | 3531 Pecos Way, Grand Prairie, TX 75052 | 2020-08-12 |
| 1497370332 | Michael Cooper | Dentist | 3154 South Hwy 161 Ste 640, Grand Prairie, TX 75052 | 2020-06-16 |
| 1043835788 | Amanda Azubike | Licensed Practical Nurse | 4593 Mt Laurel Dr, Grand Prairie, TX 75052 | 2020-06-09 |
| 1457992844 | Epic West Family Dnetistry Pllc | Dentist | 3166 Sh 161, Ste 190, Grand Prairie, TX 75052 | 2019-10-07 |
| 1033777487 | National Vision Inc | Optometrist | 3166 South Highway 161, Suite 160, Grand Prairie, TX 75052 | 2019-05-31 |
| 1689136624 | Raushanah Taherrah Shareef-jefferson | Dental Hygienist | 831 Ridgecrest Rd, Grand Prairie, TX 75052 | 2019-04-01 |
| 1053812552 | Dfw Better Care Physicians, Pllc | Clinic/Center | 5204 Tx 360 #400, Grand Prairie, TX 75052 | 2018-02-21 |
| 1629586797 | Grand Prairie Marvel Dental Pllc | Clinic/Center | 5020 S Hwy 360, Suite 200, Grand Prairie, TX 75052 | 2018-01-11 |
| 1033626221 | Thad Taylor Iv Dds | Dentist | 3261 S. Carrier Pkwy., Grand Prairie, TX 75052 | 2018-01-09 |
| 1902312796 | Real Dental Pllc | Dentist | 1215 W. Pioneer Pkwy, Suite 130, Grand Prairie, TX 75052 | 2017-12-16 |
| Find all providers in zip 75052 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265032841 | Kevin Mukasa | Pharmacist | 2225 W I 20, Grand Prairie, TX 75052-3926 | 2020-10-31 |
| 1225648603 | Kristie Jones | Pharmacist | 2325 W I 20, Grand Prairie, TX 75052-3927 | 2020-07-31 |
| 1992313043 | Minh Ngo | Pharmacist | 3128 Paseo, Grand Prairie, TX 75054-6833 | 2020-07-15 |
| 1609497569 | Christopher Cotton | Pharmacist | 2859 Caminata, Grand Prairie, TX 75054-6757 | 2020-05-01 |
| 1568092542 | Adiseshu Gelli | Pharmacist | 721 W Tarrant Rd Ste 110, Grand Prairie, TX 75050-3445 | 2020-01-18 |
| 1811534993 | Ngoc Quang Dinh | Pharmacist | 2827 Terrosa Rd, Grand Prairie, TX 75054-0075 | 2019-12-07 |
| 1871087460 | Cam Chau Huynh | Pharmacist | 2615 W Pioneer Pwky Suite 139, Grand Prairie, TX 75051 | 2018-06-18 |
| 1386158301 | Andrea Collier Johnson | Pharmacist | 5772 Jillian Way, Grand Prairie, TX 75052-0418 | 2017-11-29 |
| 1629581020 | Olubolanle Afolayan | Pharmacist | 1960 W Tarrant Rd, Grand Prairie, TX 75050-7612 | 2017-11-08 |
| 1518409622 | Quyen Nguyen | Pharmacist | 4935 Soaring Eagle Ct, Grand Prairie, TX 75052-3028 | 2016-11-07 |
| Find all providers in GRAND PRAIRIE | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75052 |
Please comment or provide details below to improve the information on ANDREA DAWN NOVOTNY.
| 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.