DALLAS EXPRESS PHARMACY NPI 1003172792

NPI Information

  • NPI: 1003172792
  • Provider Name: DALLAS EXPRESS PHARMACY
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Address: 111A N HOFFMAN ST
    DALLAS, NC
    ZIP 28034
  • Phone: (704) 922-3001

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NPI Details

DALLAS EXPRESS PHARMACY is a community/retail pharmacy pharmacy in Dallas, NC. 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. DALLAS EXPRESS PHARMACY NPI is 1003172792. The provider is registered as an organization entity type.

The provider's business location address is:

111A N HOFFMAN ST
DALLAS, NC
ZIP 28034-597
Phone: (704) 922-3001
Fax: (704) 922-0060

The provider's authorized official is Jacob Tyler Wallace .
The authorized official title is President and has the following contact phone number (704) 922-3001.

The enumeration date for this NPI number is 4/6/2012 and was last updated on 9/21/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail Pharmacy09048NORTH CAROLINAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10366203MEDICAIDNORTH CAROLINA
23403451OTHERNORTH CAROLINANCPDP

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: 3/30/2025

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