Dallas County Mental Health & Mental Retardation Center
NPI 1104910413ActiveOrganization· Pharmacy, Clinic Pharmacy· Dallas, TX
Pharmacy, Clinic Pharmacy in Dallas, Texas, registered in NPPES in October 2006. The authorized official on file is Min Seo Cheon Kim, Chief Pharmacy Officer. Enrolled in Medicare as part b supplier - pharmacy.
Overview
| NPI | 1104910413 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 3, 2006 |
| Last updated in NPPES | Nov 26, 2025 |
| Certified by provider | Nov 26, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Clinic Pharmacy Primary | 3336C0002X | 969 | TX |
| Pharmacy | 333600000X | — | — |
| Pharmacy, Mail Order Pharmacy | 3336M0002X | — | — |
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) | Enrolled Part B Supplier - Pharmacy (TX) |
|---|
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