ST. MARIE CLINIC, P.A. (NPI# 1104919216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104919216 |
| Entity Type | Organization |
| Organization Name | ST. MARIE CLINIC, P.A. |
| Other Organization Name | ST. MARIE CLINIC, P.A. PHARMACY |
| Practice Address |
305 E Expressway 83 Mission TX 78572-5560 |
| Practice Telephone | 9565852009 |
| Practice Fax Number | 9565835833 |
| Mailing Telephone | 9565857401 |
| Mailing Fax Number | 9565801788 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-08-14 |
| Authorized Official Name | DR. EDUARDO CARRILLO (CEO/OWNER) |
| Authorized Official Telephone | 9565857401 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
45-37380 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | VENDOR DRUG NUMBER | 145560 | 01 |
| TX | NCPDP NUMBER | 45-37380 | 01 |
| Other Name | Type Code |
|---|---|
| St. Marie Clinic, P.A. Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639191836 | St. Marie Clinic, P.a. | Clinic/Center | 305 E Expressway 83, Mission, TX 78572-5560 | 2006-07-24 |
| Street Address |
305 E EXPRESSWAY 83 |
| City | MISSION |
| State | TX |
| Zip Code | 78572-5560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396764577 | St Marie Clinic P A | Family Medicine | 305 E Expressway 83, Mission, TX 78572-5560 | 2006-07-19 |
| 1124541735 | Houston Noel Gomez | Nurse Practitioner | 305 E Expressway 83, Mission, TX 78572 | 2017-07-25 |
| 1821407271 | Sebastian Oviedo | Nurse Practitioner | 305 E Expressway 83, Mission, TX 78572-5560 | 2014-08-11 |
| 1275814626 | St Marie Home Health LLC | Home Health | 305 E Expressway 83, Suite 201, Mission, TX 78572-5560 | 2011-08-30 |
| 1235433442 | Eduardo Carrillo, Mdpa | Family Medicine | 305 E Expressway 83, Mission, TX 78572-5560 | 2011-01-03 |
| 1952505794 | St Marie Clinic P A | Home Health | 305 E Expressway 83, Mission, TX 78572-5560 | 2007-06-14 |
| 1336274380 | St Marie Clinic Pa | Pediatrics | 305 E Expressway 83, Mission, TX 78572-5560 | 2007-02-22 |
| 1639191836 | St. Marie Clinic, P.a. | Clinic/Center | 305 E Expressway 83, Mission, TX 78572-5560 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528676814 | Trinity Hospice Care, LLC. | Physical Therapist | 1713 W Griffin Pkwy., Ste. D, Mission, TX 78572 | 2020-07-22 |
| 1710528187 | Te Cuidamos, LLC | Home Health | 2205 N Inspiration Rd, Ste A, Mission, TX 78572 | 2019-10-07 |
| 1356806475 | Severo Esteban Saenz | Physical Therapist | 816 Travis St Apt E55, Mission, TX 78572 | 2019-02-02 |
| 1609352715 | Community First Home Health | Home Health | 1707 Merlin, Mission, TX 78572 | 2018-07-12 |
| 1831681279 | Yuriko Garcia | Physician Assistant | 910 S. Bryan Rd., Suite #105, Mission, TX 78572 | 2018-06-01 |
| 1982193918 | Dalinda Valdez | Registered Nurse | 1707 Merlin Dr, Mission, TX 78572 | 2018-05-04 |
| 1487152260 | Azul Homecare, LLC. | Technician | 2007 East Griffin Parkway, Ste. C, Mission, TX 78572 | 2018-01-26 |
| 1760998371 | J Bravo Medical Services | Clinic/Center | 2001 W 3 Mile Line Rd, 2400 & 2500, Mission, TX 78572 | 2017-12-18 |
| 1821528654 | Bit Na Lee | Dentist | 213 E Expy 83, Mission, TX 78572 | 2017-06-14 |
| 1568901957 | Ofelia Perez Hernandez Dds Pllc | Dentist | 8360 W. Expy 83, Mission, TX 78572 | 2017-02-17 |
| Find all providers in zip 78572 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695471 | Lone Star Community Health Center, Inc. | Pharmacy | 227 State Highway 75 N Ste 130, Huntsville, TX 77320-3171 | 2020-09-28 |
| 1508428046 | Pharmacore Consulting Group | Pharmacy | 2440 Texas Pkwy Ste 380, Missouri City, TX 77489-4000 | 2019-07-05 |
| 1245894682 | Burke Center | Pharmacy | 1522 W Frank Ave Ste 109, Lufkin, TX 75904-3334 | 2019-04-30 |
| 1578053591 | Corpus Christi Urology Group, Pllc | Pharmacy | 601 Texan Trl Ste 100a, Corpus Christi, TX 78411-2548 | 2018-05-15 |
| 1174023493 | Pristinerx Consulting LLC | Pharmacy | 12046 Giddings Dr, Frisco, TX 75035-8874 | 2018-02-13 |
| 1649704396 | North Central Texas Community Health Care Center, Inc | Pharmacy | 1301 3rd St Ste 100, Wichita Falls, TX 76301-2245 | 2017-04-19 |
| 1053859306 | Metabolic Therapy Inc. | Pharmacy | 4103 Avenue D, Austin, TX 78751 | 2017-02-07 |
| 1407394992 | Bsa Amarillo Diagnostic Clinic | Pharmacy | 6700 W 9th Ave Ste C, Amarillo, TX 79106-1729 | 2017-02-06 |
| 1659700540 | Familia Care Inc | Pharmacy | 10058 A. Long Point, Houston, TX 77055 | 2013-11-01 |
| 1376971499 | Planned Parenthood of Greater Texas | Pharmacy | 9100 N Central Expy # 169, Dallas, TX 75231-5922 | 2013-10-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.