Provider Demographics
NPI:1033198379
Name:BARSKY ENTERPRISES LLC
Entity Type:Organization
Organization Name:BARSKY ENTERPRISES LLC
Other - Org Name:TEXASSTAR PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARSKY
Authorized Official - Suffix:
Authorized Official - Credentials:R PH
Authorized Official - Phone:972-519-8475
Mailing Address - Street 1:3033 W PARKER RD
Mailing Address - Street 2:STE 100
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-8048
Mailing Address - Country:US
Mailing Address - Phone:972-519-8475
Mailing Address - Fax:972-519-8477
Practice Address - Street 1:3033 W PARKER RD
Practice Address - Street 2:STE 100
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-8048
Practice Address - Country:US
Practice Address - Phone:972-519-8475
Practice Address - Fax:972-519-8477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-14
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX250763336C0003X
3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX145679Medicaid
2099208OtherPK
2099208OtherPK