Provider Demographics
NPI:1528091949
Name:PHARMACY PLUS, INC.
Entity type:Organization
Organization Name:PHARMACY PLUS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:MANNING
Authorized Official - Last Name:NEALE
Authorized Official - Suffix:JR
Authorized Official - Credentials:RPH
Authorized Official - Phone:972-539-3624
Mailing Address - Street 1:3020 CORPORATE CT STE 300
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-5617
Mailing Address - Country:US
Mailing Address - Phone:972-539-3624
Mailing Address - Fax:972-539-3694
Practice Address - Street 1:420 S DENTON TAP RD STE 110
Practice Address - Street 2:
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-3266
Practice Address - Country:US
Practice Address - Phone:972-462-9400
Practice Address - Fax:972-462-9600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2023-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX171363336C0004X, 3336C0003X, 3336C0004X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4597780OtherNCPDP#
TX144455Medicaid
TX0872530005Medicare NSC