MOODY OUTPATIENT CLINIC PHARMACY
NPI 1982698569
Pharmacy in Dallas, TX
NPI Status: Active since September 09, 2005
Contact Information
5151 MAPLE AVE # 1-1676
DALLAS, TX
ZIP 75235
Phone: (142) 590-6323
Fax: (142) 590-6160
- Organization
- Pharmacy
- CLIA Number: 45D2226257
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 11-22-2026
About MOODY OUTPATIENT CLINIC PHARMACY
This page provides the complete NPI Profile along with additional information for Moody Outpatient Clinic Pharmacy, a provider established in Dallas, Texas operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1982698569 assigned on September 2005. The practitioner's primary taxonomy code is 333600000X with license number 4633300002 (TX). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Moody Outpatient Clinic Pharmacy. The authorized official of this NPI record is Edmundo Castaneda (Exec Vp & Chief Operating Officer)
- NPI
- 1982698569
- Provider Legal Name
- DALLAS COUNTY HOSPITAL DISTRICT
- Other Organization Name
- MOODY OUTPATIENT CLINIC PHARMACY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 5151 MAPLE AVE # 1-1676 DALLAS, TX 75235
- Location Phone
- (142) 590-6323
- Location Fax
- (142) 590-6160
- Mailing Address
- 5200 HARRY HINES BLVD DALLAS, TX 75235
- Mailing Phone
- (469) 419-1976
- Mailing Fax
- (142) 590-6160
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-09-2005
- Last Update Date
- 06-03-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy
- Taxonomy Code
- 333600000X
- Type
- Suppliers
- License No.
- 4633300002
- License State
- TX
- Taxonomy Description
- A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4539067 | OTHER (01) | TX | NCPDP |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2226257
- Facility Type
- Community Clinic
- Certificate Effective Date
- November 23, 2024
- Certificate Expiration Date
- November 22, 2026
- Laboratory Director
- DR. IBRAHIM A. HASHIM
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Moody Outpatient Clinic Pharmacy on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1982698569, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982698569, enumerated as an "organization" on September 09, 2005.
The provider is located at 5151 MAPLE AVE # 1-1676 DALLAS, TX 75235 and the phone number is (142) 590-6323.
Pharmacy with taxonomy code 333600000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
