BLUEGREEN INDUSTRIES LLC NPI 1134452212

NPI Information

  • NPI: 1134452212
  • Provider Name: BLUEGREEN INDUSTRIES LLC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Doing Business As: WHEATLAND PHARMACY
  • Address: 1666 N HAMPTON RD STE 100B
    DESOTO, TX
    ZIP 75115
  • Phone: (972) 572-1500

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NPI Details

BLUEGREEN INDUSTRIES LLC is a long term care pharmacy pharmacy in Desoto, TX. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. BLUEGREEN INDUSTRIES LLC NPI is 1134452212. The provider is registered as an organization entity type.
The provider Is Doing Business As Wheatland Pharmacy.

The provider's business location address is:

1666 N HAMPTON RD STE 100B
DESOTO, TX
ZIP 75115-627
Phone: (972) 572-1500
Fax: (972) 572-1505

The provider's authorized official is Lynn Clark .
The authorized official title is Pic and has the following contact phone number (972) 572-1500.

The enumeration date for this NPI number is 9/8/2009 and was last updated on 7/26/2013.

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
13336C0004XPharmacyCompounding PharmacyNo
23336S0011XPharmacySpecialty PharmacyNo
33336L0003XPharmacyLong Term Care Pharmacy26621TEXASYes

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
12121875OTHERPK
2146063MEDICAIDTEXAS

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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