NORTHWEST TEXAS HEALTHCARE SYSTEM INC (NPI# 1336213545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336213545 |
| Entity Type | Organization |
| Organization Name | NORTHWEST TEXAS HEALTHCARE SYSTEM INC |
| Other Organization Name | JO WYATT COMMUNITY HEALTH CENTER |
| Practice Address |
1411 E Amarillo Blvd Amarillo TX 79107-5555 |
| Mailing Address |
1411 E Amarillo Blvd Po Box 1110 Amarillo TX 79107-5555 |
| Practice Telephone | 8063517240 |
| Practice Fax Number | 8063517306 |
| Mailing Telephone | 8063517240 |
| Mailing Fax Number | 8063517306 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2016-12-20 |
| Authorized Official Name | BRENT COLLIER (PHARMACY MANAGER) |
| Authorized Official Telephone | 8063517241 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
25233 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2105523 | 01 | |
| TX | 144946 | 05 |
| Other Name | Type Code |
|---|---|
| JO WYATT COMMUNITY HEALTH CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740347087 | Northwest Texas Healthcare System Inc | Psychiatric Unit | 7201 Evans St, Amarillo, TX 79106-1707 | 2007-01-03 |
| 1467442418 | Northwest Texas Healthcare System Inc | Clinic/Center | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2005-10-21 |
| 1356777502 | Northwest Texas Healthcare System Inc | Rehabilitation Unit | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2013-09-19 |
| 1720354590 | Northwest Texas Healthcare System Inc | Anesthesiology | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2012-03-27 |
| 1851305007 | Northwest Texas Healthcare System Inc | Dietitian, Registered | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2006-07-27 |
| 1770509507 | Northwest Texas Healthcare System Inc | Clinic/Center | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2006-07-14 |
| 1346266186 | Northwest Texas Healthcare System Inc | Ambulance | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2006-07-14 |
| 1154347987 | Northwest Texas Healthcare System Inc | Specialist/Technologist, Other | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2006-07-14 |
| Street Address |
1411 E AMARILLO BLVD |
| City | AMARILLO |
| State | TX |
| Zip Code | 79107-5555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396726212 | Jeffrey S Pickens | Family Medicine | 1411 E Amarillo Blvd, Amarillo, TX 79107-5555 | 2005-11-08 |
| 1760030100 | Jennifer Kathryn Ebeling | Nurse Practitioner | 1411 E Amarillo Blvd, Amarillo, TX 79107-5555 | 2019-08-29 |
| 1073175154 | Todd M Walls | Pharmacist | 1411 E Amarillo Blvd, Amarillo, TX 79107-5555 | 2019-06-28 |
| 1245796911 | William Bowman | Nurse Practitioner | 1411 E Amarillo Blvd, Amarillo, TX 79107-5555 | 2019-02-18 |
| 1427523737 | Meredith Mercer | Pharmacist | 1411 E Amarillo Blvd, Amarillo, TX 79107-5555 | 2018-10-12 |
| 1043766272 | Blanca Rangel | Nurse Practitioner | 1411 E Amarillo Blvd, Amarillo, TX 79107-5555 | 2016-08-28 |
| 1063863314 | Brandi Lehning | Nurse Practitioner | 1411 E Amarillo Blvd, Amarillo, TX 79107-5555 | 2016-06-28 |
| 1770903304 | Whitney L Dowd | Nurse Practitioner | 1411 E Amarillo Blvd, Amarillo, TX 79107-5555 | 2014-04-22 |
| 1780008904 | Northwest Texas Wyatt Clinic Pllc | Family Medicine | 1411 E Amarillo Blvd, Amarillo, TX 79107-5555 | 2014-02-07 |
| 1578998951 | Cecelia Garcia Brewer | Nurse Practitioner | 1411 E Amarillo Blvd, Amarillo, TX 79107-5555 | 2013-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851738884 | Daniel J Meadors | Dentist | 2201 N. Grand, Amarillo, TX 79107 | 2013-05-31 |
| 1568660785 | Keelie Nicole Hauk | Dental Hygienist | 850 Martin Road, Amarillo, TX 79107 | 2007-07-10 |
| 1346361664 | Daniel J Meadors Dds Inc | Dentist | 2201 N Grand, Amarillo, TX 79107 | 2007-04-03 |
| 1881701795 | John C Curry | Dentist | 2201 N Grand St, Amarillo, TX 79107 | 2006-08-24 |
| 1285633305 | Kathy Ann Ford | Nurse Practitioner | 824 Martin Rd, Amarillo, TX 79107 | 2005-07-20 |
| 1629572854 | Ihnbae Cho | Dentist | 206 Ne 7th Ave, Amarillo, TX 79107 | 2018-03-21 |
| 1467736363 | Maria Fernanda Contreras | Pediatrics | 713 N Taylor St, Amarillo, TX 79107 | 2011-10-11 |
| 1477735322 | Timothy John Revell | Emergency Medicine | 9601 Spur 591, Amarillo, TX 79107 | 2007-12-03 |
| 1851309280 | John Michael Archer | Dentist | 1900 Coulter Road, Suite G, Amarillo, TX 79107-1732 | 2006-08-03 |
| 1386067593 | Amber Leigh Roth | Nurse Practitioner | 1411 East Amarillo Blvd, Amarillo, TX 79107-1770 | 2014-01-23 |
| Find all providers in zip 79107 | ||||
| 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 |
|---|---|---|---|---|
| 1184070096 | Heal The City Pharmacy | Pharmacy | 604 S Tennessee St, Amarillo, TX 79106-8646 | 2016-05-10 |
| 1790140663 | Walgreens | Pharmacy | 4524 Tutbury Ct, Amarillo, TX 79119-6514 | 2015-12-21 |
| 1306249107 | Wal-mart Stores Texas LLC | Pharmacy | 2035 Se 34th Ave, Amarillo, TX 79103-1705 | 2014-10-07 |
| 1912293705 | Pro Med Pharmacies, Inc. | Pharmacy | 704 N Polk, Amarillo, TX 79107-5248 | 2011-06-21 |
| 1457494353 | Catching's Prescriptions Ltd | Pharmacy | 1900 S Coulter St Ste F, Amarillo, TX 79106-1793 | 2007-02-14 |
| 1881732816 | United Supermarkets, L.L.C. | Pharmacy | 4701 S Washington St, Amarillo, TX 79110-2619 | 2007-02-02 |
| 1447357942 | Cvs Pharmacy Inc | Pharmacy | 3340 S Western St, Amarillo, TX 79109-3242 | 2006-09-20 |
| 1699782573 | Walgreen Co | Pharmacy | 3320 Bell St, Amarillo, TX 79106-5013 | 2006-08-02 |
| 1730196619 | Walgreen Co | Pharmacy | 2601 S Georgia St, Amarillo, TX 79109-1904 | 2006-08-02 |
| 1235116161 | United Supermarkets LLC | Pharmacy | 5807 Sw 45th Ave Ste 100, Amarillo, TX 79109-5291 | 2005-12-30 |
| Find all providers in AMARILLO | ||||
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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.