METHODIST CHILDREN'S HOSPITAL (NPI# 1568451763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568451763 |
| Entity Type | Organization |
| Organization Name | METHODIST CHILDREN'S HOSPITAL |
| Other Organization Name | COVENANT HOME INFUSION |
| Practice Address |
4002 22nd Pl Lubbock TX 79410-1145 |
| Practice Telephone | 8067256327 |
| Practice Fax Number | 8067254942 |
| Mailing Telephone | 8067256327 |
| Mailing Fax Number | 8067254942 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2018-04-10 |
| Authorized Official Name | MR. JOHN GRIGSON (SR. VICE PRESIDENT & CHIEF FINANCIA) |
| Authorized Official Telephone | 8067250492 |
| Is Organization Subpart | Y |
| Parent Organization Name | METHODIST CHILDREN'S HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
31555 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 112816701 | 05 | |
| PK | 2104505 | 01 |
| Other Name | Type Code |
|---|---|
| Covenant Home Infusion | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750607792 | Methodist Children's Hospital | Internal Medicine | 4015 22nd Pl, Lubbock, TX 79410 | 2010-04-15 |
| 1437171568 | Methodist Children's Hospital | Clinic/Center | 4015 22nd Place, Lubbock, TX 79410-1203 | 2006-07-25 |
| Street Address |
4002 22ND PL |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79410-1145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780010009 | Shanna L Hamilton | Pharmacist | 4002 22nd Pl, Lubbock, TX 79410-1145 | 2013-09-18 |
| 1316921273 | Sarah Singh Chilcote | Pharmacist | 4002 22nd Pl, Covenant Home Infusion, Lubbock, TX 79410-1145 | 2005-12-05 |
| 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 | 3336H0001X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Home Infusion Therapy Pharmacy |
| Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
| Notes: Source: National Home Infusion Association [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477173417 | Metroplex Pharmacy Solutions LLC | Pharmacy | 12700 Hillcrest Rd Ste 218, Dallas, TX 75230-2071 | 2020-04-20 |
| 1699319863 | Kare Home Infusion Pharmacy Pllc | Pharmacy | 4225 Gladys Ave Ste A, Beaumont, TX 77706-3644 | 2019-10-31 |
| 1497309660 | Pareek Inc | Pharmacy | 13988 Diplomat Dr Ste 100-b, Farmers Branch, TX 75234-8807 | 2019-07-26 |
| 1043878762 | Gaspy Infusion Services Inc | Pharmacy | 11104 W Airport Blvd Ste 223, Stafford, TX 77477-3035 | 2019-05-29 |
| 1952801128 | Renew Hydration LLC | Pharmacy | 2601 W Mockingbird Ln Ste 100, Dallas, TX 75235-5630 | 2018-02-14 |
| 1790294668 | Profusion, LLC | Pharmacy | 3200 Steck Ave Ste 330, Austin, TX 78757-8034 | 2017-09-23 |
| 1871974485 | Innoveix Pharmaceuticals Inc. | Pharmacy | 3790 Arapaho Rd, Addison, TX 75001-4311 | 2015-06-10 |
| 1881081818 | Home Infusion Services, LLC | Pharmacy | 2790 Lake Vista Dr., Suite 800, Lewisville, TX 75067 | 2015-04-16 |
| 1508254327 | American Specialty Pharmacy, Inc. | Pharmacy | 2414 Babcock Rd Ste 106, San Antonio, TX 78229-4870 | 2014-12-31 |
| 1255731261 | Total Rx Care Inc | Pharmacy | 9101 Lakeview Pkwy Ste 500, Rowlett, TX 75088-4540 | 2014-08-27 |
| 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.