PRESTON ROAD PHARMACY, INC.
NPI 1477662427
Pharmacy - Community/Retail Pharmacy in Dallas, TX

Q: What is Preston Road Pharmacy, Inc.'s NPI number?

The NPI number for Preston Road Pharmacy, Inc. is 1477662427. It was assigned to this organization in the NPPES registry on August 30, 2006.

Q: What is Preston Road Pharmacy, Inc.'s specialty?

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

Active since August 30, 2006

6901 PRESTON RD, DALLAS, TX 75205(214) 521-9991(214) 521-1649 Get Directions Write a Review

NPPES record last updated: August 18, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Preston Road Pharmacy, Inc. NPPES

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

PRESTON ROAD PHARMACY, INC. (NPI 1477662427) is a healthcare organization registered as a community/retail pharmacy in Dallas, Texas and active in the NPI registry since August 2006. The organization lists Jonathan P. Lipe, President/pic, as its authorized official.

NPPES Registry Identity

NPI1477662427

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NamePRESTON ROAD PHARMACY, INC.

Location Address6901 PRESTON RDDallas, TX 75205-1186

Mailing Address6901 Preston RdDallas, TX 75205-1186 · (214) 521-9991 · Fax (214) 521-1649

Phone(214) 521-9991

Fax(214) 521-1649

Organization SubpartNo

Authorized OfficialJonathan P. LipePresident/pic · (214) 521-9991

Enumeration DateAugust 30, 2006

Last NPPES UpdateAugust 18, 2008

✔ NPI 1477662427 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 · 03321

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.

6901 PRESTON RD, Dallas, TX 75205

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Preston Road Pharmacy, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateTexasEnrollment IDO20131016000086Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateJanuary 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

222 services221 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

203 services203 patients

Other Providers at the Same Location NPPES 6

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

MARILYN MOOTZ PITTS PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)