Davita Rx, LLC
Davita Rx, LLC is a healthcare organization registered as Community/Retail Pharmacy in Coppell, TX, holding Type 2 (organization) NPI 1093995417 since 2007. The authorized official on file is Patrick Mckinnon, Sr Vice President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1093995417 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Davita Rx, LLC |
| Other name | <Unavail> |
| Practice address | 1234 LAKESHORE DR STE 200, Coppell, TX, 75019 |
| Phone | 9018675357 |
| Fax | 8662084462 |
| Enumeration date | 2007-11-14 |
| Last updated in NPPES | 2017-05-02 |
Authorized official
| Name | Patrick Mckinnon |
|---|---|
| Title | Sr Vice President |
| Phone | 3038762857 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 332BD1200X | Dialysis Equipment & Supplies (DME) | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336S0011X | Specialty Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Copy-ready billing details
Provider: Davita Rx, LLC NPI: 1093995417 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1234 LAKESHORE DR STE 200, Coppell, TX, 75019
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1619201811 | Maricela Lara-Nevarez | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Coppell, TX |
Verify this record
Cross-check NPI 1093995417 against the authoritative CMS record: view Davita Rx, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Davita Rx, LLC?
What is the NPI number for Davita Rx, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-05-02.