NPI age
20 years
Enumerated 2005-09-09
● Active Type 2 · Organization
Pavilion Pharmacy
Pavilion Pharmacy is 1 of 2274 pharmacy organizations in Texas.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lieb
President
Last NPPES update
2023-03-07
Source: monthly bulk 2026-05
How this organization compares
Across 2274 active pharmacy providers in Texas.
NPI age
20 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2005 → 2026
2005-09Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
221 W Colorado Blvd, Suite 445
Dallas, TX 752082363
Mailing address
221 W Colorado Blvd, Suite 445
Dallas, TX 752082363
Authorized official
Michael Lieb
President
📞 2149477511
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Petra Adams, AGACNP Nurse Practitioner NPI 1760857684
- Brittany Alexander Nurse Practitioner NPI 1609470350
- Joseph Amos, MD Surgery NPI 1629012588
- Howard Anderson, M.D. Internal Medicine NPI 1396825006
- Antonio Arazoza, M.D. Orthopaedic Surgery NPI 1154393577
- Hermine Ariyibi, NP Nurse Practitioner NPI 1568615417
- Arturo Aviles, MD Internal Medicine NPI 1356381750
- Katrina Birdwell, M.D. Surgery NPI 1508067760
- Margaret Bondoc, ACNP Nurse Practitioner NPI 1851826473
- Brian Bosworth, PA-C Physician Assistant NPI 1447629233
- Luis Bowen, M.D. Internal Medicine NPI 1902163033
- Kirk Brauer, M.D. Anesthesiology NPI 1174572580
- Nancy Brookshire, A.C.N.P. Nurse Practitioner NPI 1134338916
- Gerald Bulloch, MD Internal Medicine NPI 1700829744
- Andrew Chambers, M.D. Orthopaedic Surgery NPI 1477874873
- David Chen, M.D. Psychiatry & Neurology NPI 1609868918
- Karen Colunga, APRN Nurse Practitioner NPI 1730967316
- Robert Edmonson, MD Internal Medicine NPI 1124062005
- Kellie Edwardsen, AGACNP Nurse Practitioner NPI 1982248548
- Trevor Ellison, M.D., PH.D., MBA Thoracic Surgery (Cardiothoracic Vascular Surgery) NPI 1285787341
Specialties
-
Pharmacy PrimaryA facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 143603 | |
| 01 | 4580684 | NABP |
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.