Doughertys Pharmacy Inc
Community/Retail Pharmacy
12835 Preston Rd Ste 202, Dallas
Texas, 75230-1277
214-373-5300 214-739-0238
Doughertys Pharmacy Inc is a Community/Retail Pharmacy in Dallas, Texas. It is located at 12835 Preston Rd Ste 202, Dallas and it's customer support contact number is 214-373-5300. The authorized person of Doughertys Pharmacy Inc is Terry Dewitt who is Ceo of the pharmacy and his contact number is 254-722-7912. Active license number of Doughertys Pharmacy Inc is 03246 for Community/Retail Pharmacy in Texas. Doughertys Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Doughertys Pharmacy Inc is 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.
Pharmacy Details:
Doughertys Pharmacy Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Doughertys Pharmacy Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 12835 Preston Rd Ste 202, Dallas,
Texas, 75230-1277 |
| Phone: | 214-373-5300 |
| Fax: | 214-739-0238 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Terry Dewitt |
| Position: | Ceo |
| Contact Number: | 254-722-7912 |
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 pharmacy are as mentioned below.
| NPI Number: | 1124012315 |
| NPI Enumeration Date: | 02 Sep, 2005 |
| NPI Last Update On: | 15 Nov, 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 Doughertys Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 03246 | Texas | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Pharmacy | | | Secondary | |
| Compounding Pharmacy | | | Secondary | |
| Long Term Care Pharmacy | | | Secondary | |
| Specialty Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 086333401 | Medicaid | Texas | |
| 2099454 | Other | | Pk |
Medicare Enrollment:
Doughertys Pharmacy Inc 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 |
| 3476567330 | O20060130000876 | Doughertys Pharmacy Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
| 3476567330 | O20100930026833 | Doughertys Pharmacy Inc | DME SUPPLIER - PHARMACY |
| 3476567330 | O20120313000328 | Doughertys Pharmacy Inc | PART B SUPPLIER - OTHER |
Products Available:
Doughertys Pharmacy Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Diabetic Shoes & Inserts: Prefabricated |
| • Nebulizer Equipment & Supplies | • Ostomy Supplies |
| • Surgical Dressings | • Urological Supplies |
| • Wheelchairs & Accessories: Standard Manual | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 12835 Preston Rd Ste 202,
Dallas, Texas |
| Zip: | 75230-1277 |
| Phone Number: | 214-373-5300 |
| Fax Number: | 214-739-0238 |
Patients can reach Doughertys Pharmacy Inc at
12835 Preston Rd Ste 202, Dallas, Texas or can
call on customer care at 214-373-5300.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.