NPI age
10 years
Enumerated 2016-04-12
● Active Type 2 · Organization
Subpart
University Of Texas Southwestern Medical Center At Dallas
University Of Texas Southwestern Medical Center At Dallas is 1 of 5625 pharmacy organizations in Texas.
Primary specialty
Pharmacy
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Liticker
Pharmacy Manager
Last NPPES update
2017-07-18
Source: monthly bulk 2026-05
How this organization compares
Across 5625 active pharmacy providers in Texas.
NPI age
10 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 62% of peers with subspecialties
NPI lifetime · 2016 → 2026
2016-04Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
400 W Magnolia Ave Ste 2500
Fort Worth, TX 761047617
Mailing address
400 W Magnolia Ave, Ste 2500
Fort Worth, TX 761047617
Authorized official
Jeff Liticker, PHARMD
Pharmacy Manager
📞 2146452681
Specialties
-
Pharmacy PrimaryA 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...
-
PharmacyA 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 |
|---|---|---|
| 01 | 2158721 | PK |
| 01 (TX) | 5918733 | NCPDP |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Moncrief Cancer Institute Retail Pharmacy
Practice context
Single-site organization. Only one practice location on file.
Subpart of University Of Texas Southwestern Medical.
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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.