Dallas County Mental Health & Mental Retardation Center
NPI 1093114134ActiveOrganization· Pharmacy, Clinic Pharmacy· Grand Prairie, TX
Pharmacy, Clinic Pharmacy in Grand Prairie, Texas, registered in NPPES in August 2014. The authorized official on file is Min Seo Cheon Kim, Chief Pharmacy Officer.
Overview
| NPI | 1093114134 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 14, 2014 |
| Last updated in NPPES | Dec 2, 2025 |
| Certified by provider | Dec 2, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Clinic Pharmacy Primary | 3336C0002X | 29414 | TX |
| Pharmacy | 333600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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