JOHN HALSEY PHARMACY (NPI# 1225046956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225046956 |
| Entity Type | Organization |
| Organization Name | JOHN HALSEY PHARMACY |
| Practice Address |
4102 24th St Ste 103 Lubbock TX 79410-1806 |
| Practice Telephone | 8067958555 |
| Practice Fax Number | 8067958555 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ERIC PENDARVIS (PIC) |
| Authorized Official Telephone | 8067958555 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| X | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
| X | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| X | 333600000X | Pharmacy | 11706 | TX | Suppliers |
| X | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 120624 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4526046 | 01 |
| Street Address |
4102 24TH ST STE 103 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79410-1806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700880382 | Barbara Haight Way | Specialist | 4102 24th St, Ste 201, Lubbock, TX 79410-1801 | 2005-06-10 |
| 1902318736 | Olivia A Harris | Nurse Practitioner | 4102 24th St, Lubbock, TX 79410 | 2017-11-02 |
| 1407131246 | Vivian Vanessa Cox | Nurse Practitioner | 4102 24th St, Ste. 303, Lubbock, TX 79410-1806 | 2011-10-12 |
| 1730404872 | Autum Lynn Desoto | Pediatrics | 4102 24th St, Suite 507, Lubbock, TX 79410-1806 | 2010-04-01 |
| 1275721045 | Terry Gage, Md | Family Medicine | 4102 24th St, Suite 404, Lubbock, TX 79410-1806 | 2007-10-05 |
| 1578754149 | Carol Tracy Suit | Obstetrics & Gynecology | 4102 24th St, Suite 300, Lubbock, TX 79410-1806 | 2007-08-07 |
| 1144411711 | Amanda Beth Hatton | Obstetrics & Gynecology | 4102 24th St, Suite 300, Lubbock, TX 79410-1806 | 2007-08-07 |
| 1780788067 | Kevin Clark Worley | Obstetrics & Gynecology | 4102 24th St, 101, Lubbock, TX 79410-1806 | 2006-09-08 |
| 1801906656 | James Terry Gage | Family Medicine | 4102 24th St, Suite 404, Lubbock, TX 79410-1804 | 2006-08-30 |
| 1346274610 | Mark Allen Feist | Pediatrics | 4102 24th St, Suite 401, Lubbock, TX 79410-1806 | 2006-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878267 | Covenant Medical Center | Clinic/Center | 3615 19th, Lifestyle Centre-east Parking Garage, Lubbock, TX 79410 | 2020-07-20 |
| 1669038626 | Hub City Anesthesia | Nurse Anesthetist, Certified Registered | 3416 22nd Street, Lubbock, TX 79410 | 2019-05-15 |
| 1912447418 | Lubbock Surgery Center, LLC | Clinic/Center | 3416 22nd St, Lubbock, TX 79410 | 2017-03-02 |
| 1871032698 | Lezlee Berry | Pharmacist | 3615 19th Street, Lubbock, TX 79410 | 2017-02-13 |
| 1376914101 | Matthew Cotton | Nurse Practitioner | 2424 Quaker Ave, Lubbock, TX 79410 | 2015-10-20 |
| 1841534864 | Frank Nwabugwu | Pharmacist | 4120 34th Street, Lubbock, TX 79410 | 2012-11-15 |
| 1689954794 | Dharmendra Kumar | Pediatrics | Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 | 2011-08-19 |
| 1518277177 | T.r.m. Rao, M.d., P.a. | Colon & Rectal Surgery | 3809 22nd Street, Suite C, Lubbock, TX 79410 | 2010-10-18 |
| 1700196672 | Hanford Consultations P.a. | Family Medicine | 4000 22nd Place Suite 100, Lubbock, TX 79410 | 2010-10-13 |
| 1336452598 | Amanda Collins | Specialist | 4801 34th Street, Lubbock, TX 79410 | 2010-07-16 |
| Find all providers in zip 79410 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on JOHN HALSEY PHARMACY.
| 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.