TEXAS TECH STUDENT HEALTH PHARMACY (NPI# 1871636738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871636738 |
| Entity Type | Organization |
| Organization Name | TEXAS TECH STUDENT HEALTH PHARMACY |
| Practice Address |
1003 Flint Ave. Lubbock TX 79409 |
| Mailing Address |
1003 Flint Ave Lubbock TX 79409-0001 |
| Practice Telephone | 8067432636 |
| Practice Fax Number | 8067434474 |
| Mailing Telephone | 8067432636 |
| Mailing Fax Number | 8067434474 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2015-02-11 |
| Authorized Official Name | HEATHER LYNN JOHNSON (PHARMACSIT IN CHARGE) |
| Authorized Official Telephone | 8067432636 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
06057 | TX | Suppliers |
| Street Address |
1003 FLINT AVE. |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841828126 | Luke Malone | Student in an Organized Health Care Education/Training Program | 2503 Mac Davis Lane, Lubbock, TX 79409 | 2020-03-31 |
| 1023563889 | Austin P. Wade | Psychologist | 1003 Flint Ave, Lubbock, TX 79409 | 2016-08-23 |
| 1104221928 | Amanda Dorsten | Specialist/Technologist | 6216 66th St, Lubbock, TX 79409 | 2014-10-23 |
| 1124420427 | Chrystal Jansz | Behavioral Analyst | 2902 18th Street, Lubbock, TX 79409 | 2014-09-18 |
| 1205044740 | Texas Tech University Psychology Clinic | Psychologist | 18th Street and Boston Avenue, Lubbock, TX 79409 | 2007-05-18 |
| 1578682175 | Stephen Michael Pincock | Specialist/Technologist | 6th & Red Raider Ave., Atf Box 43021, Lubbock, TX 79409 | 2007-03-28 |
| 1871996421 | Jason C Cohen | Behavioral Analyst | 2902 18th Street, Lubbock, TX 79409 | 2014-09-26 |
| 1710389317 | Texas Tech University | Behavioral Analyst | 2902 18th Street, Lubbock, TX 79409 | 2014-09-25 |
| 1215339452 | Wesley H Dotson | Behavioral Analyst | 2902 18th Street, Lubbock, TX 79409 | 2014-09-18 |
| 1265643654 | Sara Ann Smock | Marriage & Family Therapist | Applied and Professional Studies,broadway and Akron St., Rm 260, Human Sciences, Box 41162, Lubbock, TX 79409-1162 | 2007-05-25 |
| Find all providers in zip 79409 | ||||
| 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 |
|---|---|---|---|---|
| 1093114845 | Apothecarxy Specialty LLC | Pharmacy | 5214 98th Street, Suite 302, Lubbock, TX 79424 | 2014-08-18 |
| 1235559865 | Parkway Pharmacy | Pharmacy | 1824 Parkway Dr, Set 100, Lubbock, TX 79403-4406 | 2014-04-22 |
| 1003249210 | Costco Wholesale Corporation | Pharmacy | 6020 34th St, Lubbock, TX 79407 | 2013-08-12 |
| 1083997639 | L C Pharma of Lubbock LLC | Pharmacy | 3801 22nd St Ste 1a, Lubbock, TX 79410-1113 | 2011-09-21 |
| 1053473918 | Stok-pharms Inc | Pharmacy | 8211 Indiana Ave, Lubbock, TX 79423-2832 | 2006-12-15 |
| 1306912068 | Lowe's Marketplace Pharmacy #81 | Pharmacy | 8208 Slide Rd, Lubbock, TX 79424-3436 | 2006-11-27 |
| 1205933603 | Cvs Pharmacy Inc | Pharmacy | 3801 19th St, Lubbock, TX 79410-1001 | 2006-09-20 |
| 1679670178 | Cvs Pharmacy Inc | Pharmacy | 5208 98th St, Lubbock, TX 79424-4493 | 2006-09-20 |
| 1346344124 | Cvs Pharmacy Inc | Pharmacy | 3402 50th St, Lubbock, TX 79413-4002 | 2006-09-12 |
| 1437253218 | Cvs Pharmacy Inc | Pharmacy | 3403 82nd St, Lubbock, TX 79423-1715 | 2006-09-12 |
| Find all providers in LUBBOCK | ||||
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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.