AT HOME PHARMACY GRAND PRAIRIE LP – Community/Retail Pharmacy, NPI 1114963600

AT HOME PHARMACY GRAND PRAIRIE LP is a healthcare provider. based in Grand prairie, Texas. specializing in Community/Retail Pharmacy. The organization holds a License No. 24380 (TX). The NPI Number for AT HOME PHARMACY GRAND PRAIRIE LP is 1114963600

Main info

Organization
Name
AT HOME PHARMACY GRAND PRAIRIE LP
NPI
1114963600
Phone
(214) 239-9106
Address
4927 LAKE RIDGE PKWY STE 180
Authorized Official
GARY HASTY OWNER CEO
Enumeration Date
21 June 2006
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for AT HOME PHARMACY GRAND PRAIRIE LP

  • 4927 LAKE RIDGE PKWY STE 180

    GRAND PRAIRIE, TX 75052

    Phone: (214) 239-9106

    Fax: (214) 239-9107

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75052)

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Reviews

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Frequently asked questions

What is the registry number for AT HOME PHARMACY GRAND PRAIRIE LP?
The registry entry for AT HOME PHARMACY GRAND PRAIRIE LP shows NPI 1114963600.
Quick check: is AT HOME PHARMACY GRAND PRAIRIE LP active?
Public NPPES data shows AT HOME PHARMACY GRAND PRAIRIE LP with an active NPI status right now.
What does the directory say AT HOME PHARMACY GRAND PRAIRIE LP does?
Insurance directories may phrase it differently, but here AT HOME PHARMACY GRAND PRAIRIE LP maps to Community/Retail Pharmacy. Clinical services aligned with this taxonomy classification.
What city is tied to AT HOME PHARMACY GRAND PRAIRIE LP?
The directory associates AT HOME PHARMACY GRAND PRAIRIE LP with Grand Prairie, Texas. Check all listed addresses for suites or satellite offices.
Who maintains AT HOME PHARMACY GRAND PRAIRIE LP's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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