MARTIN LUTHER KING JR FAMILY CLINIC – NPI #1134366289
Pharmacy
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
MARTIN LUTHER KING JR FAMILY CLINIC is a pharmacy located in DALLAS, TX. NPPES has assigned the NPI number 1134366289 to MARTIN LUTHER KING JR FAMILY CLINIC on January 12, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 3336C0002X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Clinic Pharmacy
The NPI profile was previously updated about 14 years ago on Jul 02, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARTIN LUTHER KING JR FAMILY CLINIC below.
NPI Profile for
MARTIN LUTHER KING JR FAMILY CLINIC
(more than 17 years ago)
B
DALLAS, TX 75215-2321 Phone: (214) 426-3645 Fax: (214) 426-6813
DALLAS, TX 75315-0128 Phone: (214) 426-3645 Fax: (214) 426-6813
CEO
Phone: (214) 426-3645
Identifiers for MARTIN LUTHER KING JR FAMILY CLINIC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | NCPDP PROVIDER ID | 4576229 | |
| MEDICAID | TX | 130713404 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 3336C0002X - Pharmacy / Clinic Pharmacy (Primary) |
TX | 11893 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.