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MEDFRONT LLC NPI 1932478112


NPI Information

NPI: 1932478112
Provider Name: MEDFRONT LLC

Doing Business As: MEDFONT PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
4041 W WHEATLAND RD STE 204
DALLAS, TX
ZIP 75237
Phone: (972) 709-2190
Get Directions

MEDFRONT LLC is a community/retail pharmacy pharmacy in Dallas, TX. The provider is 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. MEDFRONT LLC NPI is 1932478112. The provider is registered as an organization entity type.
The provider Is Doing Business As Medfont Pharmacy.

The provider's business location address is:

4041 W WHEATLAND RD STE 204
DALLAS, TX
ZIP 75237-061
Phone: (972) 709-2190
Fax: (972) 709-0190

The provider's authorized official is Olamide Makinde .
The authorized official title is Owner/mgr/pic and has the following contact phone number (972) 709-2190.

The enumeration date for this NPI number is 12/18/2011 and was last updated on 7/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336C0004XPharmacyCompounding PharmacyNo
43336L0003XPharmacyLong Term Care PharmacyNo
53336C0003XPharmacyCommunity/Retail Pharmacy27977TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12135058OTHERPK
2340061601MEDICAIDTEXAS
3340061602MEDICAIDTEXAS
4340061603MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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