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NPI 1912094111
● Active Type 2 · Organization
Dallas County Mental Health & Mental Retardation Center
Pharmacy · Dallas, TX · NPI 1912094111
·
Enumerated 2006 · 19 years on NPI
Dallas County Mental Health & Mental Retardation Center is 1 of 107 pharmacy organizations in Texas.
NPI age
19 years
Enumerated 2006-10-07
Primary specialty
Pharmacy
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cheon Kim
Chief Pharmacy Officer
Last NPPES update
2025-12-02
Source: monthly bulk 2026-05
How this organization compares
Across 107 active pharmacy providers in Texas.
NPI age
19 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 42% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-10 Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
3330 S Lancaster Rd
Dallas, TX 752164531
📞 2143716639 fax 2143726218
Mailing address
3242 Remond Dr
Dallas, TX 75211
📞 2147436180 fax 4692001956
Authorized official
Min Seo Cheon Kim
Chief Pharmacy Officer
📞 2147436180
Individual providers at this organization
20 individual providers on file at this primary practice address.
John Abbas , Q
Counselor
NPI 1073736344
Olayinka Apena , CASEMANAGER
Counselor
NPI 1063636660
Dwight Ausbrooks , B.S.
Counselor
NPI 1316160732
Andrea Brown , B.A.S., CASE MANAGER
Case Manager/Care Coordinator
NPI 1790903466
Bonnie Burnside , LCDC
Rehabilitation Counselor
NPI 1306554969
Dorothy Canady
Counselor
NPI 1023231925
Keshanda Carraby , LCSW
Social Worker
NPI 1174332290
Beverly Carroll , LCDC
Counselor
NPI 1376140483
Cornelia Casey , B.S.
Social Worker
NPI 1245455302
Kikelomo Dawotola , FNP
Nurse Practitioner
NPI 1093285504
Carmelita Deburr
Counselor
NPI 1821110974
Angela Ennis-Benford
Case Manager/Care Coordinator
NPI 1073726303
Diana Feick-Kistler , LPC
Counselor
NPI 1417225038
Lanora Ferguson , LPC
Counselor
NPI 1821481920
Chris Goetz , LPC
Counselor
NPI 1326335878
Natasha Gultery , FNP
Nurse Practitioner
NPI 1558506436
Sloane Hartzell , PHARMD
Pharmacist
NPI 1720684780
Soheila Hesami , MD
Internal Medicine
NPI 1073530820
Kamran Hidari
Pharmacist
NPI 1558950584
Ethan Hinds , MD
Psychiatry & Neurology
NPI 1508445545
Specialties
Pharmacy
Primary
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
TX license #4093 taxonomy 3336C0002X
Pharmacy
A 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...
taxonomy 333600000X
Identifiers
Type Value Notes
01
2099860
PK
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
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How to verify this organization
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.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.