Pavilion Pharmacy
Pavilion Pharmacy is a healthcare organization registered as Pharmacy in Dallas, TX, holding Type 2 (organization) NPI 1699769299 since 2005. The authorized official on file is Michael Lieb, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1699769299 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pavilion Pharmacy |
| Practice address | 221 W COLORADO BLVD, SUITE 445, Dallas, TX, 75208 |
| Phone | 2149472435 |
| Fax | 2149472436 |
| Enumeration date | 2005-09-09 |
| Last updated in NPPES | 2023-03-07 |
Authorized official
| Name | Michael Lieb |
|---|---|
| Title | President |
| Phone | 2149477511 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Primary | 13542 | TX |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 143603 | Medicaid | TX | — |
| 4580684 | Other | — | NABP |
Copy-ready billing details
Provider: Pavilion Pharmacy NPI: 1699769299 Taxonomy: 333600000X (Pharmacy) Address: 221 W COLORADO BLVD, SUITE 445, Dallas, TX, 75208
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1093713901 | Manuel Lorenzo | Individual | Surgery Physician | Dallas, TX |
| 1609868918 | David Chen | Individual | Neurology Physician | Dallas, TX |
| 1588641393 | Jennifer Mcclendon | Individual | Certified Registered Nurse Anesthetist | Dallas, TX |
| 1154393577 | Antonio Arazoza | Individual | Orthopaedic Surgery Physician | Dallas, TX |
| 1851367692 | Michael Rimlawi | Individual | Orthopaedic Surgery Physician | Dallas, TX |
| 1174599146 | Bo Husberg | Individual | Surgery Physician | Dallas, TX |
| 1245290071 | Armond Schwartz | Individual | Gastroenterology Physician | Dallas, TX |
| 1366402265 | Shibu Thomas | Individual | Pulmonary Disease Physician | Dallas, TX |
Verify this record
Cross-check NPI 1699769299 against the authoritative CMS record: view Pavilion Pharmacy 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
How current is this record?
Where is Pavilion Pharmacy located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-03-07.