CHOICE SOURCE THERAPEUTIC OF HOUSTON, TEXAS, L.L.C. (NPI# 1164403069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164403069 |
| Entity Type | Organization |
| Organization Name | CHOICE SOURCE THERAPEUTIC OF HOUSTON, TEXAS, L.L.C. |
| Practice Address |
20333 State Highway 249 Suite 450 Houston TX 77070 |
| Mailing Address |
Po Box 840688 Dallas TX 75284-0688 |
| Practice Telephone | 2812577900 |
| Practice Fax Number | 2812577920 |
| Mailing Telephone | 8002255967 |
| Mailing Fax Number | 9097994364 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2010-04-23 |
| Authorized Official Name | MR. DAVID WILLIAM BORDER (AUTHORIZED SIGNER) |
| Authorized Official Telephone | 8002255967 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 19617 | TX | Suppliers |
| N | 333600000X | Pharmacy | 19617 | TX | Suppliers |
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
19617 | TX | Suppliers |
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE B (TRAILBLAZER) | 580024 | 01 |
| AL | 009914034 | 05 | |
| OH | 2441423 | 05 | |
| TX | 091576104 | 05 | |
| OK | 100245870A | 05 | |
| TX | 320199 | 05 | |
| ID | 806568400 | 05 | |
| TX | 091576105 | 05 | |
| TX | CHIP | 320199 | 01 |
| AL | 100560035 | 05 | |
| IN | 200422190 | 05 | |
| TX | HEMO ASSISTANCE | AH05 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | CHOICE SOURCE THERAPEUTIC OF HOUSTON, TEXAS, L.L.C. | One Cvs Drive, Legal Dept, Woonsocket, RI 02895 |
| Oregon Corporations, Companies and Business Names | CHOICE SOURCE THERAPEUTIC OF HOUSTON, TEXAS, L.L.C. | 1 Cvs Drive, Woonsocket, RI 02895 |
| Street Address |
20333 STATE HIGHWAY 249 SUITE 450 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386005379 | All Care Therapy Staffing Solutions, LLC | Home Health | 20333 State Highway 249, Ste. 200, Houston, TX 77070-2617 | 2016-03-17 |
| 1508138215 | Sheik Bacchus | Physical Therapist | 20333 State Highway 249, Ste. 200, Houston, TX 77070-2617 | 2012-01-27 |
| 1366617755 | Allison G. Mercadel | Pharmacist | 20333 State Highway 249, Suite 450, Houston, TX 77070-2643 | 2008-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962666 | Polyanna De La Garza Optometrist Pllc | Optometrist | 22438 Tomball Parkway, Houston, TX 77070 | 2020-04-28 |
| 1871113837 | Carolyn Hong Nguyen | Radiology | 18220 Tx 249, Houston, TX 77070 | 2020-04-20 |
| 1942831268 | Rea May Roque Danao | Registered Nurse | 18220 Tx-249, Houston, TX 77070 | 2020-01-27 |
| 1124669866 | Endocrine Diabetes and Thyroid Specialists of Houston Pllc | Internal Medicine | 18220 Texas 249 Access Rd, Houston, TX 77070 | 2019-10-03 |
| 1851944300 | Oculus Cypresswood, LLC | Optometrist | Hwy 249 & Cypresswood, Houston, TX 77070 | 2019-07-23 |
| 1740832310 | Oculus Cypresswood, LLC | Optometrist | Highway 249 & Cypresswood, Houston, TX 77070 | 2019-07-12 |
| 1750846176 | Karen Fletcher | Occupational Therapy Assistant | Silverado Vintage Preserve, 10120 Louette Rd, Houston, TX 77070 | 2019-02-11 |
| 1154803518 | Geraldine Santillan Villanueva | Physical Therapist | 13220 Breton Ridge St., Houston, TX 77070 | 2018-09-02 |
| 1467945865 | Pure G Kids, LLC | Clinic/Center | 21175 Tomball Pkwy Ste 379, Houston, TX 77070 | 2018-06-11 |
| 1063902518 | Stephanie Leona Bloodworth | Marriage & Family Therapist | 9950 Cypresswood Dr Ste 214, Houston, TX 77070 | 2018-05-10 |
| Find all providers in zip 77070 | ||||
| Taxonomy Code | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| 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 |
|---|---|---|---|---|
| 1437600392 | Revive Rx LLC | Pharmacy | 2000 Edwards St Ste B-110, Houston, TX 77007-4442 | 2016-10-17 |
| 1346605334 | Baylor Cullen Teen Health | Pharmacy | 5737 Cullen Blvd # 200, Houston, TX 77021-1665 | 2015-12-18 |
| 1346605458 | Baylor Cesar Chavez Teen | Pharmacy | 8501 Howard Dr, Houston, TX 77017-3829 | 2015-12-17 |
| 1821407495 | Rx Scripts | Pharmacy | 525 N Sam Houston Pkwy E Ste 215, Houston, TX 77060-4019 | 2014-08-07 |
| 1063574952 | Recept Pharmacy, Lp | Pharmacy | 8111 N Stadium Dr Ste 200a, Houston, TX 77054-1842 | 2006-12-15 |
| 1417028994 | Sandose Global Holdings LLC | Pharmacy | 9894 Bissonnet St Ste 282, Houston, TX 77036-8375 | 2006-11-13 |
| 1174176101 | American Specialty Pharmacy Inc | Pharmacy | 3009 Fannin St, Houston, TX 77004-2805 | 2019-07-18 |
| 1154866317 | Prucare Pharmacy | Pharmacy | 9219 Main St, Houston, TX 77025-4419 | 2016-12-27 |
| 1932564820 | Baylor College of Medicine- Worthing High | Pharmacy | 9215 Scott St, Houston, TX 77051-3302 | 2015-12-21 |
| 1538524434 | Baylor Lyndon B Johnson | Pharmacy | 5656 Kelley St, Houston, TX 77026-1967 | 2015-12-18 |
| Find all providers in HOUSTON | ||||
Please comment or provide details below to improve the information on CHOICE SOURCE THERAPEUTIC OF HOUSTON, TEXAS, L.L.C..
| 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.