Dallas Express Pharmacy
Durable Medical Equipment & Medical Supplies
111 North Hoffman, Suite A, Dallas
North Carolina, 28034
704-922-3001 704-922-0060
Dallas Express Pharmacy is a Durable Medical Equipment & Medical Supplies in Dallas, North Carolina. It is located at 111 North Hoffman, Suite A, Dallas and it's customer support contact number is 704-922-3001. The authorized person of Dallas Express Pharmacy is Mr. Jacob Tyler Wallace Jr., R.PH. who is President of this DME and his contact number is 704-922-3001. Active license number of Dallas Express Pharmacy is 9048 for Durable Medical Equipment & Medical Supplies in North Carolina. Dallas Express Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Dallas Express Pharmacy is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Dallas Express Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Dallas Express Pharmacy |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 111 North Hoffman, Suite A, Dallas,
North Carolina, 28034 |
| Phone: | 704-922-3001 |
| Fax: | 704-922-0060 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Jacob Tyler Wallace Jr. |
| Credentials: | R.PH. |
| Position: | President |
| Contact Number: | 704-922-3001 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1346365848 |
| NPI Enumeration Date: | 21 Mar, 2007 |
| NPI Last Update On: | 21 Sep, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dallas Express Pharmacy are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | 9048 | North Carolina | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3403451 | Other | | Ncpdp |
| 0366203 | Medicaid | North Carolina | |
Medicare Enrollment:
Dallas Express Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 9638370406 | O20160919000625 | Dallas Express Pharmacy Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Dallas Express Pharmacy has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Nebulizer Equipment & Supplies |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 111 North Hoffman, Suite A
Dallas, North Carolina |
| Zip: | 28034 |
| Phone Number: | 704-922-3001 |
| Fax Number: | 704-922-0060 |
Patients can reach Dallas Express Pharmacy at
111 North Hoffman, Suite A, Dallas, North Carolina or can
call on customer care at 704-922-3001.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.