National Provider Identifier Database

AT HOME PHARMACY GRAND PRAIRIE LP
Community/Retail Pharmacy

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.


Contact Information

AT HOME PHARMACY GRAND PRAIRIE LP
4927 LAKE RIDGE PKWY STE 180
GRAND PRAIRIE, TX75052
Phone: 214-239-9106
Fax: 214-239-9107
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for AT HOME PHARMACY GRAND PRAIRIE LP

NPI Number 1114963600
Legal business name
LBN
AT HOME PHARMACY GRAND PRAIRIE LP
Authorized official GARY HASTY - (OWNER CEO)
Entity Organization
Organization subpart No
Enumeration date 06/21/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: 24380
  • Other: 4539485 OTHER ID NUMBER-COMMERCIAL NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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