HEART OF TEXAS REGION MHMR (NPI# 1558382515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558382515 |
| Entity Type | Organization |
| Organization Name | HEART OF TEXAS REGION MHMR |
| Practice Address |
110 S 12th St Waco TX 76701-1810 |
| Mailing Address |
Po Box 890 Waco TX 76703-0890 |
| Practice Telephone | 2547523451 |
| Practice Fax Number | 2547556554 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-03-05 |
| Authorized Official Name | MR. DANIEL THOMPSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2547523451 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
15399 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4510055 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HEART OF TEXAS REGION MHMR CENTER | 110 S 12th St, Waco, TX 76701-1810 |
| Street Address |
110 S 12TH ST |
| City | WACO |
| State | TX |
| Zip Code | 76701-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588658298 | Allen L Hueston | Psychiatry & Neurology | 110 S 12th St, Waco, TX 76701-1810 | 2005-09-08 |
| 1639792534 | Ana Chatham | Social Worker | 110 S 12th St, Waco, TX 76701-1810 | 2020-05-26 |
| 1689293235 | Dorothy Clark | Counselor | 110 S 12th St, Waco, TX 76701-1810 | 2020-04-14 |
| 1881243715 | Ashley Rosenstein | Counselor | 110 S 12th St, Waco, TX 76701-1810 | 2019-09-04 |
| 1346802337 | Mealika D. Brown | Counselor | 110 S 12th St, Waco, TX 76701-1810 | 2019-07-01 |
| 1184189110 | John Mccoy | Nurse Practitioner | 110 S 12th St, Waco, TX 76701-1810 | 2019-02-04 |
| 1710455563 | Kaylyn Muscarello | Counselor | 110 S 12th St, Waco, TX 76701-1810 | 2018-11-09 |
| 1053828681 | Chelsea Layne Kramer | Social Worker | 110 S 12th St, Waco, TX 76701-1810 | 2018-01-04 |
| 1225544919 | Joy Pfanner | Social Worker | 110 S 12th St, Waco, TX 76701-1810 | 2017-12-18 |
| 1891209136 | Heather Travers | Counselor | 110 S 12th St, Waco, TX 76701-1810 | 2017-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780005744 | Cenikor Foundation | Counselor | 900 Austin Avenue, Suite 1103, Waco, TX 76701 | 2013-12-18 |
| 1730412073 | Lauren Corinne Smith | Occupational Therapist | 900 Washington Avenue, Waco, TX 76701 | 2009-09-17 |
| 1750554093 | Juanita Castillo | Internal Medicine | 1226 Washington Avenue, Waco, TX 76701 | 2008-04-08 |
| 1306958426 | Daniel Ray Davis | Dentist | 2305 Austin, Waco, TX 76701 | 2006-08-31 |
| 1003886003 | Elite Prosthetics & Orthotics Inc | Prosthetic/Orthotic Supplier | 2105 Franklin Ave, Waco, TX 76701 | 2006-01-24 |
| 1477821593 | Michelle Elizabeth Girard | Speech-Language Pathologist | 900 Washington Ave, Waco, TX 76701 | 2011-12-03 |
| 1871781302 | Robert Craig Rainey | Family Medicine | 1226 Washington Ave, Waco, TX 76701 | 2007-10-10 |
| 1730478777 | Garret Pool | Family Medicine | 600 Franklin Ave, Suite B-c, Waco, TX 76701-0002 | 2011-03-30 |
| 1023379104 | Lianda Mirella Martinez | Family Medicine | 600 Franklin Ave, Suite B-c, Waco, TX 76701-0002 | 2012-06-05 |
| 1508155128 | A&b Care Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2029 Washington Ave, Waco, TX 76701-1014 | 2011-04-04 |
| Find all providers in zip 76701 | ||||
| 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 |
|---|---|---|---|---|
| 1124625868 | Avita Drugs, LLC | Pharmacy | 3100 Red River St Ste 3a, Austin, TX 78705-3214 | 2020-10-06 |
| 1427697382 | Mpns Pharmacy Mgt LLC | Pharmacy | 7201 Wyoming Springs Dr Ste 301, Round Rock, TX 78681-4311 | 2019-12-24 |
| 1386289254 | Dreamcare Pharmacy LLC | Pharmacy | 7616 Branford Pl Ste 330, Sugar Land, TX 77479-3794 | 2019-11-14 |
| 1194378000 | Recept Pharmacy, Lp | Pharmacy | 209 Saint Louis Ave Ste 101, Fort Worth, TX 76104-1231 | 2019-07-19 |
| 1497314132 | Zikam Neighborhood Pharmacy LLC | Pharmacy | 17323 Ih 35 N Ste 100, Schertz, TX 78154-1278 | 2019-06-06 |
| 1932692571 | Bsa Harrington Physicians Inc | Pharmacy | 1500 Wallace Blvd Ste B, Amarillo, TX 79106-1794 | 2018-06-08 |
| 1154810760 | Doughertys Pharmacy Legacy LLC | Pharmacy | 6501 Legacy Dr Ste P, Plano, TX 75024-3612 | 2018-05-09 |
| 1578075974 | Ab Pharmacy Inc. | Pharmacy | 1401 E. Ridge Rd, Unit-b, Mcallen, TX 78503-1525 | 2017-10-26 |
| 1629589536 | Ab Pharmacy Inc. | Pharmacy | 1401 E. Ridge Rd, Unit-b, Unit-b, Mcallen, TX 48503-1525 | 2017-10-18 |
| 1346759651 | Inkrx,llc | Pharmacy | 11398 Bandera Rd Ste 302, San Antonio, TX 78250-6843 | 2017-09-29 |
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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.