ST. VINCENT DE PAUL PHARMACY
NPI 1295237543
Pharmacy - Community/Retail Pharmacy in Dallas, TX

Q: What is Society Of St. Vincent De Paul Charitable Pharmacy Of North Texas, Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since March 02, 2018CLIA 45D2309958 · Waiver

5750 PINELAND DR, DALLAS, TX 75231(469) 232-9902(469) 533-0350 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Mar 2, 2018 (2 updates tracked since 2018).

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About St. Vincent De Paul Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. VINCENT DE PAUL PHARMACY (NPI 1295237543) is a healthcare organization registered as a community/retail pharmacy in Dallas, Texas and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through August 22, 2026 and lists Clarence Henry Hermann, Pharmacy Managing Director, as its authorized official.

NPPES Registry Identity

NPI1295237543

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameSOCIETY OF ST. VINCENT DE PAUL CHARITABLE PHARMACY OF NORTH TEXAS, INC

Location Address5750 PINELAND DRDallas, TX 75231-5300

Mailing Address4310 Glenwick LnDallas, TX 75205-1035 · (214) 868-8944

Phone(469) 232-9902

Fax(469) 533-0350

Organization SubpartNo

Authorized OfficialClarence Henry HermannPharmacy Managing Director · (214) 868-8944

Enumeration DateMarch 2, 2018

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1295237543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in TX · 31881

Definition

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.

5750 PINELAND DR, Dallas, TX 75231

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Other Names 1

Doing Business AsSt. Vincent De Paul Pharmacy

Other Identifiers 1

Other31881TX · Texas State Board Of Pharmacy

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2309958

St Vincent De Paul Charitale Pharmacy · Dallas, TX

Active · expires Aug 22, 2026

CLIA Number45D2309958

Laboratory TypePharmacy

Certificate Effective DateAugust 23, 2024

Certificate Expiration DateAugust 22, 2026

Laboratory DirectorCarlos Irula

Laboratory Phone(469) 232-9902

Laboratory LocationSt Vincent De Paul Charitale Pharmacy5750 Pineland Dr Suite 280, Dallas, TX 75231

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RASHEENA TIARA MOONIE NP

Nurse Practitioner (Women's Health)