GRACE CLINIC OF LUBBOCK (NPI# 1144303264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144303264 |
| Entity Type | Organization |
| Organization Name | GRACE CLINIC OF LUBBOCK |
| Other Organization Name | GRACE PHARMACY |
| Practice Address |
4515 Marsha Sharp Fwy Lubbock TX 79407-2520 |
| Practice Telephone | 8067403305 |
| Practice Fax Number | 8067121803 |
| Mailing Telephone | 8067403305 |
| Mailing Fax Number | 8067121803 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2015-05-15 |
| Authorized Official Name | JENNIFER NALL (PIC) |
| Authorized Official Telephone | 8067403305 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
25283 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2099658 | 01 |
| Other Name | Type Code |
|---|---|
| GRACE PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912953357 | Grace Clinic of Lubbock | Anesthesiology | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 | 2006-05-26 |
| Street Address |
4515 MARSHA SHARP FWY |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79407-2520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033112560 | Howard P Hurd II | Internal Medicine | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 | 2005-05-30 |
| 1366081861 | Haley Hart | Nurse Practitioner | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 | 2019-12-31 |
| 1760967640 | Edwin Orlando Guerra | Physician Assistant | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 | 2018-09-26 |
| 1871096339 | Katrina Foster | Nurse Practitioner | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 | 2018-03-12 |
| 1386091775 | Lauren Wheeler | Physician Assistant | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 | 2016-05-16 |
| 1922470921 | Amie Brogden | Nurse Practitioner | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 | 2015-10-29 |
| 1144692823 | Heather Sullivan | Nurse Practitioner | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 | 2015-10-21 |
| 1104202738 | Morgan Espe | Nurse Practitioner | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 | 2015-08-05 |
| 1184029035 | Karen C Gordy | Nurse Practitioner | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 | 2014-11-04 |
| 1841609013 | Jeffery Farley | Nurse Practitioner | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 | 2014-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155731 | Bryce Olson Pt, LLC | Physical Therapist | 6014 45th St Ste C Lubbock, Tx 79407, 6014 45th St Ste C Lubbock, Tx 79407, Lubbock, TX 79407 | 2020-05-07 |
| 1235762923 | Fnu Sindhuja Gunasekaran | Physical Therapist | 6014 45th Street, Lubbock, TX 79407 | 2020-02-20 |
| 1770987554 | Amanda Moore | Occupational Therapist | 6548 43rd St, Lubbock, TX 79407 | 2014-10-22 |
| 1336565639 | Best Eye Visioncare, Pllc | Optometrist | 6020 34th Street, Lubbock, TX 79407 | 2014-03-11 |
| 1003249210 | Costco Wholesale Corporation | Pharmacy | 6020 34th St, Lubbock, TX 79407 | 2013-08-12 |
| 1225304686 | Community Health Center of Lubbock, Inc. | Clinic/Center | 5424 19th St Ste 200, Lubbock, TX 79407 | 2012-03-29 |
| 1023385879 | Medway Medical Equipment IIi LLC | Durable Medical Equipment & Medical Supplies | 3448 W Loop 289, Lubbock, TX 79407 | 2011-11-22 |
| 1801102553 | Jennifer Hobbs Williams | Nurse Practitioner | 1910 Quaker Ave Ste 101, Lubbock, TX 79407 | 2010-08-19 |
| 1780901496 | Joni Rodriguez | Counselor | 1611 Ave K, Lubbock, TX 79407 | 2010-04-21 |
| 1073776860 | Southwest Regional PCr, LLC | Clinical Medical Laboratory | 2002 W Loop 289 Ste 116, Lubbock, TX 79407 | 2008-07-02 |
| Find all providers in zip 79407 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1093114845 | Apothecarxy Specialty LLC | Pharmacy | 5214 98th Street, Suite 302, Lubbock, TX 79424 | 2014-08-18 |
| 1235559865 | Parkway Pharmacy | Pharmacy | 1824 Parkway Dr, Set 100, Lubbock, TX 79403-4406 | 2014-04-22 |
| 1003249210 | Costco Wholesale Corporation | Pharmacy | 6020 34th St, Lubbock, TX 79407 | 2013-08-12 |
| 1083997639 | L C Pharma of Lubbock LLC | Pharmacy | 3801 22nd St Ste 1a, Lubbock, TX 79410-1113 | 2011-09-21 |
| 1871636738 | Texas Tech Student Health Pharmacy | Pharmacy | 1003 Flint Ave., Lubbock, TX 79409 | 2007-02-14 |
| 1053473918 | Stok-pharms Inc | Pharmacy | 8211 Indiana Ave, Lubbock, TX 79423-2832 | 2006-12-15 |
| 1306912068 | Lowe's Marketplace Pharmacy #81 | Pharmacy | 8208 Slide Rd, Lubbock, TX 79424-3436 | 2006-11-27 |
| 1205933603 | Cvs Pharmacy Inc | Pharmacy | 3801 19th St, Lubbock, TX 79410-1001 | 2006-09-20 |
| 1679670178 | Cvs Pharmacy Inc | Pharmacy | 5208 98th St, Lubbock, TX 79424-4493 | 2006-09-20 |
| 1346344124 | Cvs Pharmacy Inc | Pharmacy | 3402 50th St, Lubbock, TX 79413-4002 | 2006-09-12 |
| Find all providers in LUBBOCK | ||||
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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.