MONCRIEF CANCER INSTITUTE RETAIL PHARMACY
NPI 1992169395
Pharmacy - Community/Retail Pharmacy in Fort Worth, TX

Q: What is University Of Texas Southwestern Medical Center At Dallas's specialty?

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

Active since April 12, 2016

400 W MAGNOLIA AVE STE 2500, FORT WORTH, TX 76104(817) 288-9756(817) 288-0060 Get Directions Write a Review

NPPES record last updated: July 18, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2017, Jul 7, 2017 (2 updates tracked since 2017).

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About Moncrief Cancer Institute Retail Pharmacy NPPES

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

MONCRIEF CANCER INSTITUTE RETAIL PHARMACY (NPI 1992169395) is a healthcare organization registered as a community/retail pharmacy in Fort Worth, Texas and active in the NPI registry since April 2016. The organization lists Jeff Liticker, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1992169395

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameUNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS

Location Address400 W MAGNOLIA AVE STE 2500Fort Worth, TX 76104-7617

Mailing Address400 W Magnolia Ave, Ste 2500Fort Worth, TX 76104-7617 · (817) 288-9756 · Fax (817) 288-0060

Phone(817) 288-9756

Fax(817) 288-0060

Organization SubpartYesParent: University Of Texas Southwestern Medical

Authorized OfficialJeff LitickerPharmacy Manager · (214) 645-2681

Enumeration DateApril 12, 2016

Last NPPES UpdateJuly 18, 20172 updates tracked since enumeration

✔ NPI 1992169395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in TX · 29894

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 ListedPharmacyTaxonomy 333600000X

400 W MAGNOLIA AVE STE 2500, Fort Worth, TX 76104

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Other Names 1

Doing Business AsMoncrief Cancer Institute Retail Pharmacy

Other Identifiers 2

Other5918733TX · Ncpdp

Other2158721Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..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 University Of Texas Southwestern Medical Center At Dallas's NPI number?

The NPI number for University Of Texas Southwestern Medical Center At Dallas is 1992169395. It was assigned to this organization in the NPPES registry on April 12, 2016. The provider is doing business as Moncrief Cancer Institute Retail Pharmacy.

Where is University Of Texas Southwestern Medical Center At Dallas located?

University Of Texas Southwestern Medical Center At Dallas is located at 400 W Magnolia Ave Ste 2500, Fort Worth, TX 76104. The listed phone number is (817) 288-9756.

What is University Of Texas Southwestern Medical Center At Dallas's specialty?

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

What insurance does University Of Texas Southwestern Medical Center At Dallas accept?

Health plans from Medica and Moda Health Plan, Inc. list University Of Texas Southwestern Medical Center At Dallas 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 University Of Texas Southwestern Medical Center At Dallas was last updated on July 18, 2017. 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.