Brandy Pharmacy Corp
Pharmacy, Community/Retail Pharmacy in Mesquite, TX. Organization (NPI-2).
Details
- NPI
- 1194261024
- Entity type
- Organization (NPI-2)
- Legal business name
- Brandy Pharmacy Corp
- Organization subpart
- No
- Enumeration date
- Jan 17, 2017
- Last updated
- Nov 27, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 31336 | TX | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Brandy Pharmacy 2 (Doing Business As)
Practice location
910 N Galloway Ave Ste 303Mesquite, TX 75149-2409
Phone 972-773-9001 · Fax 972-773-9584
Mailing address
Po Box 851766Mesquite, TX 75185-1766
Phone 972-773-9001 · Fax 972-773-9584
Authorized official
Nedal Naser
Owner, Ao
9727739001
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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