ASCENSION PROVIDENCE (NPI# 1386784304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386784304 |
| Entity Type | Organization |
| Organization Name | ASCENSION PROVIDENCE |
| Other Organization Name | PLAZA PHARMACY |
| Practice Address |
6101 Woodway Dr Suite 100 Waco TX 76712-6111 |
| Practice Telephone | 2547514915 |
| Practice Fax Number | 2547514916 |
| Mailing Telephone | 2547514915 |
| Mailing Fax Number | 2547514916 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2019-04-12 |
| Authorized Official Name | KENNETH FLOWERS (PIC) |
| Authorized Official Telephone | 2547514915 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
14491 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 370017 | 05 | |
| PK | 2099862 | 01 |
| Other Name | Type Code |
|---|---|
| PLAZA PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093708679 | Ascension Providence | General Acute Care Hospital | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2005-08-29 |
| 1730406265 | Ascension Providence | Psychiatric Hospital | 301 Londonderry Dr, Waco, TX 76712-7915 | 2010-04-23 |
| Street Address |
6101 WOODWAY DR SUITE 100 |
| City | WACO |
| State | TX |
| Zip Code | 76712-6111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891767539 | Samuel Warren Ralston | Family Medicine | 6101 Woodway Dr, Suite 200, Waco, TX 76712-6111 | 2006-02-06 |
| 1073123014 | Lesia Holt | Nurse Practitioner | 6101 Woodway Dr, Waco, TX 76712-6111 | 2020-08-04 |
| 1679054522 | Navin Sharma | Physical Therapist | 6101 Woodway Dr, Waco, TX 76712-6111 | 2018-08-28 |
| 1093188831 | Katelyn Dvorsky | Physician Assistant | 6101 Woodway Dr, Waco, TX 76712-6111 | 2015-11-02 |
| 1649564014 | Hector Barrezueta | Pediatrics | 6101 Woodway Dr, Suite 230, Waco, TX 76712-6111 | 2011-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634294 | Waco Ophthalmology, Pllc | Ophthalmology | 602 W Highway 6, Waco, TX 76712 | 2020-03-19 |
| 1326692872 | Oceans Behavioral Hospital of Waco LLC | Psychiatric Hospital | 5931 Crosslake Parkway, Waco, TX 76712 | 2019-08-01 |
| 1831759620 | Jessica Ngoc Vien | Optometrist | 1000 Hwy 6, Ste 210, Waco, TX 76712 | 2019-06-14 |
| 1780150888 | Chelsea Cannon | Occupational Therapist | 330 W State Hwy 6, Waco, TX 76712 | 2018-10-17 |
| 1669955399 | Elizabeth Ann Barnhill | Speech-Language Pathologist | 15003 Riatta Rd, Woodway, TX 76712 | 2018-09-09 |
| 1447731617 | Melanie A Melton | Physical Therapist | 300 West Highway 6, Waco, TX 76712 | 2018-08-27 |
| 1396226403 | Gala Kaye Czajkoski | Occupational Therapy Assistant | 300 West Hightway 6, Waco, TX 76712 | 2018-08-27 |
| 1619457454 | Monica Anderson | Physical Therapy Assistant | 300 W Hwy 6, Waco, TX 76712 | 2018-08-21 |
| 1295238368 | Waco Sn Opco LLC | Skilled Nursing Facility | 7501 Bagby, Waco, TX 76712 | 2018-03-14 |
| 1558872952 | C. Guy Fps, Pllc | Otolaryngology | 1129 Aberdeen Rd, Waco, TX 76712 | 2017-10-12 |
| Find all providers in zip 76712 | ||||
| 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 |
|---|---|---|---|---|
| 1902313166 | Buy-rite Drugs Pharmacy | Pharmacy | 1201 Hewitt Dr Ste 212a, Waco, TX 76712-8834 | 2018-01-09 |
| 1841542727 | Pharmacy Plus Inc. | Pharmacy | 10412 China Spring Rd, Waco, TX 76708-5676 | 2012-10-03 |
| 1881128122 | Baylor Health Enterprises, L.p. | Pharmacy | 50 Hillcrest Medical Blvd, Suite 200-1, Waco, TX 76712-8952 | 2017-04-13 |
| 1598201220 | Heb Pharmacy | Pharmacy | 1301 Wooded Acres Dr, Waco, TX 76710-4437 | 2017-01-19 |
| 1245569201 | Heart of Texas Community Health Center Inc | Pharmacy | 1600 Providence Dr, Suite 201, Waco, TX 76707-2261 | 2009-12-21 |
| 1700954799 | Baylor Health Enterprises Lp | Pharmacy | 1412 N Valley Mills Dr Ste 116, Waco, TX 76710-4445 | 2006-11-30 |
| 1073617593 | Baylor Univ Health Center Pharmacy | Pharmacy | 209 Speight Ave, Ste 214, Waco, TX 76706-1507 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790575 | Nextlevel Pharmaceuticals LLC | Pharmacy | 1110 Texas Pkwy, Stafford, TX 77477-6419 | 2020-11-06 |
| 1629679410 | Duehan Tran Ngo | Pharmacy | 403 W Sam Houston Pkwy N, Houston, TX 77024-4736 | 2020-11-06 |
| 1679174882 | Comanche County Medical Center Company | Pharmacy | 1870 State Hwy 36, Rising Star, TX 76471 | 2020-11-04 |
| 1629679717 | Edith Achebodt | Pharmacy | 2233 Avenue J Ste 103b, Arlington, TX 76006-5884 | 2020-11-04 |
| 1356942767 | Rxassist Pharmacy, Inc. | Pharmacy | 17020 Beaver Springs Dr Ste 8, Houston, TX 77090-2398 | 2020-11-03 |
| 1154921864 | Mbepe Health LLC | Pharmacy | 301 S 9th St Ste 121, Richmond, TX 77469-3448 | 2020-10-30 |
| 1639779366 | Mens African Investors | Pharmacy | 6355 S Peek Rd Ste 300, Katy, TX 77450-7195 | 2020-10-30 |
| 1861091977 | A Medizona Pharmacy | Pharmacy | 3700 Barker Cypress Rd, Suite 700, Houston, TX 77084 | 2020-10-20 |
| 1952900078 | Nudo Pharmacy LLC | Pharmacy | 104 Industrial Blvd Ste 201, Sugar Land, TX 77478-3174 | 2020-10-20 |
| 1194324277 | Rite Scripts Pharmacy Inc | Pharmacy | 13835 Westhollow Park Dr Apt 2805, Houston, TX 77082-1885 | 2020-10-20 |
| 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.