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LAKE RIDGE PHARMACY
NPI 1407290356
Pharmacy - Community/Retail Pharmacy in Grand Prairie, TX

Active since April 22, 2013
4927 LAKE RIDGE PKWY STE #180, GRAND PRAIRIE, TX 75052(972) 522-7606(972) 522-7607 Get Directions Write a Review

NPPES record last updated: November 3, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 3, 2016, Oct 27, 2016 (2 updates tracked since 2016).

About Lake Ridge Pharmacy NPPES

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

LAKE RIDGE PHARMACY (NPI 1407290356) is a healthcare organization registered as a community/retail pharmacy in Grand Prairie, Texas and active in the NPI registry since April 2013. The organization lists Dung Nguyen, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1407290356
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePREMIER ONE PHARMA INC.
Location Address4927 LAKE RIDGE PKWY STE #180Grand Prairie, TX 75052
Mailing Address4927 Lake Ridge Pkwy Ste #180Grand Prairie, TX 75052 · (972) 522-7606 · Fax (972) 522-7607
Phone(972) 522-7606
Fax(972) 522-7607
Organization SubpartNo
Authorized OfficialDung NguyenPharmacy Manager · (972) 522-7606
Enumeration DateApril 22, 2013
Last NPPES UpdateNovember 3, 20162 updates tracked since enumeration
✔ NPI 1407290356 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 · 28607
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.
4927 LAKE RIDGE PKWY STE #180, Grand Prairie, TX 75052
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Other Names 1

Doing Business AsLake Ridge Pharmacy

Other Identifiers 2

Other2140442Pk
Medicaid146826TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and more.Insurance ›

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 Premier One Pharma Inc.'s NPI number?

The NPI number for Premier One Pharma Inc. is 1407290356. It was assigned to this organization in the NPPES registry on April 22, 2013. The provider is doing business as Lake Ridge Pharmacy.

Where is Premier One Pharma Inc. located?

Premier One Pharma Inc. is located at 4927 Lake Ridge Pkwy Ste #180, Grand Prairie, TX 75052. The listed phone number is (972) 522-7606.

What is Premier One Pharma Inc.'s specialty?

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

What insurance does Premier One Pharma Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Arkansas Blue Cross and Blue Shield and Avera Health Plans and 21 other insurers list Premier One Pharma Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Premier One Pharma Inc. was last updated on November 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.