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Professional Plaza Pharmacy Inc

Community/Retail Pharmacy in Desoto, TX · enumerated 2007 · authorized official Michael Adetula, Chief Pharmacist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1295888394

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Registry record

Entity type Organization (Type 2)
Legal business name Professional Plaza Pharmacy Inc
Practice address 1005 York Dr, Suite 105, Desoto, TX, 75115
Phone (972) 572-1939
Fax (972) 572-9990
Enumeration date Jan 19, 2007
Last updated in NPPES Jun 17, 2008

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 1313330001 (TX) Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 19614 (TX) Primary
335E00000X Prosthetic/Orthotic Supplier Suppliers · License 19614 (TX) Secondary

Authorized official

Name Michael Adetula
Title Chief Pharmacist
Phone (972) 572-1939

Other identifiers

Identifier Type State Issuer
011191602 Medicaid TX -
144861 Medicaid TX -
4509165 Other TX NABP
011191601 Medicaid TX -

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.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Professional Plaza Pharmacy Inc?
Professional Plaza Pharmacy Inc is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-17.