PROFESSIONAL PLAZA PHARMACY INC
NPI 1295888394
Pharmacy - Community/Retail Pharmacy in Desoto, TX

Active since January 19, 2007
1005 YORK DR, SUITE 105, DESOTO, TX 75115(972) 572-1939(972) 572-9990 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Professional Plaza Pharmacy Inc NPPES

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

PROFESSIONAL PLAZA PHARMACY INC (NPI 1295888394) is a healthcare organization registered as a community/retail pharmacy in Desoto, Texas and active in the NPI registry since January 2007. The organization lists Michael Adetula, Chief Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1295888394
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePROFESSIONAL PLAZA PHARMACY INC
Location Address1005 YORK DR, SUITE 105Desoto, TX 75115-2083
Mailing Address1005 York Dr, Suite 105Desoto, TX 75115-2083 · (972) 572-1939 · Fax (972) 572-9990
Fax(972) 572-9990
Organization SubpartNo
Authorized OfficialMichael AdetulaChief Pharmacist · (972) 572-1939
Enumeration DateJanuary 19, 2007
Last NPPES UpdateJune 17, 2008
NPI 1295888394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in TX · 19614
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 1313330001 (TX)
Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X · License 19614 (TX)
1005 YORK DR, Desoto, TX 75115

Other Identifiers 5

Medicaid011191602TX
Medicaid011191601TX
Medicaid144861TX
Medicare NSC1313330001
Other4509165TX · Nabp

Other Providers at the Same Location NPPES

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

Assisted Living Facility
1005 YORK DR, SUITE 105A
DESOTO, TX 75115

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Professional Plaza Pharmacy Inc's NPI number?

The NPI number for Professional Plaza Pharmacy Inc is 1295888394. It was assigned to this organization in the NPPES registry on January 19, 2007.

Where is Professional Plaza Pharmacy Inc located?

Professional Plaza Pharmacy Inc is located at 1005 York Dr Suite 105, Desoto, TX 75115. The listed phone number is (972) 572-1939.

What is Professional Plaza Pharmacy Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Professional Plaza Pharmacy Inc was last updated on June 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.