DETTY PALLIKKUNEAL JOHN
NPI 1629401542
Pharmacist in Lewisville, TX

Active since August 14, 2013
4760 STATE HIGHWAY 121, LEWISVILLE, TX 75056(469) 287-0346 Get Directions Write a Review

NPPES record last updated: August 14, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Detty Pallikkuneal John NPPES

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

DETTY PALLIKKUNEAL JOHN (NPI 1629401542) is an individual pharmacist in Lewisville, Texas, licensed in Texas (53673) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1629401542
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDETTY PALLIKKUNEAL JOHN
Location Address4760 STATE HIGHWAY 121Lewisville, TX 75056-2913
Mailing Address4760 State Highway 121Lewisville, TX 75056-2913 · (469) 287-0346
Sole ProprietorYes
Enumeration DateAugust 14, 2013
NPI 1629401542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in TX · 53673
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
4760 STATE HIGHWAY 121, Lewisville, TX 75056

Other Providers at the Same Location NPPES 8

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

Pharmacist
4760 STATE HIGHWAY 121, TARGET STORE 2520
LEWISVILLE, TX 75056
Pharmacist
4760 STATE HIGHWAY 121, T-2520
LEWISVILLE, TX 75056
Pharmacist
4760 STATE HIGHWAY 121, TARGET PHARMACY STORE T-2520
LEWISVILLE, TX 75056
Pharmacist
4760 STATE HIGHWAY 121, TARGET 2520
LEWISVILLE, TX 75056
Pharmacist
4760 STATE HIGHWAY 121
LEWISVILLE, TX 75056
Pharmacist
4760 STATE HIGHWAY 121, T-2520
LEWISVILLE, TX 75056
Pharmacist
4760 STATE HIGHWAY 121
LEWISVILLE, TX 75056
Pharmacy (Community/Retail Pharmacy)
4760 STATE HIGHWAY 121
LEWISVILLE, TX 75056

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 Detty John's NPI number?

The NPI number for Detty John is 1629401542. It was assigned to this individual provider in the NPPES registry on August 14, 2013.

Where is Detty John located?

Detty John practices at 4760 State Highway 121, Lewisville, TX 75056. The listed phone number is (469) 287-0346.

What is Detty John's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Detty John was last updated on August 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.