POWERHOUSE PHARMACY RX LLC NPI 1982104378

NPI Information

  • NPI: 1982104378
  • Provider Name: POWERHOUSE PHARMACY RX LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 45D2154463
  • Address: 4740 W MOCKINGBIRD LN STE 100B
    DALLAS, TX
    ZIP 75209
  • Phone: (214) 350-2900

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NPI Details

POWERHOUSE PHARMACY RX LLC is a clinic center in Dallas, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). POWERHOUSE PHARMACY RX LLC NPI is 1982104378. The provider is registered as an organization entity type.

The provider's business location address is:

4740 W MOCKINGBIRD LN STE 100B
DALLAS, TX
ZIP 75209-208
Phone: (214) 350-2900
Fax: (214) 350-2904

The provider's authorized official is Kumudben Shahiwala .
The authorized official title is Owner and has the following contact phone number (614) 886-0786.

The CLIA number assigned to this NPI record is 45D2154463 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2018 and was last updated on 9/11/2024.

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
1261Q00000XClinic/CenterYes
23336C0003XPharmacyCommunity/Retail PharmacyNo
33336C0004XPharmacyCompounding PharmacyTEXASNo
43336L0003XPharmacyLong Term Care PharmacyNo
53336S0011XPharmacySpecialty PharmacyNo

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
131863OTHERTEXASPROVIDER LICENSE NUMBER
2149825MEDICAIDTEXAS

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: 11/21/2025

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