S & L MEDICAL CENTER PHARMACY INC (NPI# 1891125530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891125530 |
| Entity Type | Organization |
| Organization Name | S & L MEDICAL CENTER PHARMACY INC |
| Other Organization Name | S&J MEDICAL CENTER PHARMACY |
| Practice Address |
1101 W Eagle Dr Suite C Decatur TX 76234-3721 |
| Practice Telephone | 9406275400 |
| Practice Fax Number | 9406270257 |
| Mailing Telephone | 9406275400 |
| Mailing Fax Number | 9406270257 |
| Enumeration Date | 2013-11-16 |
| Last Update Date | 2017-02-20 |
| Authorized Official Name | RAJA SALFITI (PRESIDENT) |
| Authorized Official Telephone | 8175326112 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
28803 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2142989 | 01 | |
| TX | 146867 | 05 |
| Other Name | Type Code |
|---|---|
| S&J Medical Center Pharmacy | Doing Business As Name - Organization |
| Street Address |
1101 W EAGLE DR SUITE C |
| City | DECATUR |
| State | TX |
| Zip Code | 76234-3721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780675967 | Russell Carl Wilson | Emergency Medical Technician, Paramedic | 1101 W Eagle Dr, Suite B, Decatur, TX 76234-3721 | 2005-11-04 |
| 1134557697 | Chadwick M Lindt, D.d.s., P.C. | Dentist | 1101 W Eagle Dr, Ste. A, Decatur, TX 76234-3721 | 2013-10-21 |
| 1811137995 | Ribeiro Orthopedic Pa | Orthopaedic Surgery | 1101 W Eagle Dr, Suite B, Decatur, TX 76234-3721 | 2009-03-02 |
| 1487786091 | S & J Medical Center Pharmacy Inc | Pharmacy | 1101 W Eagle Dr, Suite C, Decatur, TX 76234-3721 | 2007-03-09 |
| 1245295732 | John A Ribeiro | Orthopaedic Surgery | 1101 W Eagle Dr, Suite B, Decatur, TX 76234-3721 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477102028 | Ursula Eileen Fernandez-plata | Technician | 1221 Cr 4371, Decatur, TX 76234 | 2019-09-06 |
| 1649772377 | Stephanie Jennie Roddenberry | Nurse Practitioner | 2301 S Fm 51 Ste 500, Decatur, TX 76234 | 2018-03-08 |
| 1467731679 | David Gatti Corless | Dentist | 301 W. Main St., Decatur, TX 76234 | 2011-08-05 |
| 1376830067 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 805 W Business Hwy 380, Decatur, TX 76234 | 2011-07-01 |
| 1356667844 | Richard Ryan Ooten | Specialist/Technologist, Other | 239 Harvey Lane, Decatur, TX 76234 | 2010-04-09 |
| 1003049032 | Advanced Gastroenterology Associates, Pa | Internal Medicine | 607 Medical Center Drive, Suite 2600, Decatur, TX 76234 | 2009-08-25 |
| 1831346188 | Rufus John Nelson | Dentist | 1710 S Hwy 51 Ste 20,pmb #176, 1000 W Business Hwy 380, Decatur, TX 76234 | 2008-08-19 |
| 1851558449 | James Lee Hendrick | Counselor | 2304 Fm 51 South, Decatur, TX 76234 | 2008-05-21 |
| 1891964995 | Sheryl A White | Counselor | 1106 E Business Hwy 380, Decatur, TX 76234 | 2008-02-22 |
| 1366625022 | Tower Mutual Holding Company, Inc. | Durable Medical Equipment & Medical Supplies | 206 N. State Street, Decatur, TX 76234 | 2007-12-17 |
| Find all providers in zip 76234 | ||||
| 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 |
|---|---|---|---|---|
| 1316565963 | Allen Specialty Pharmacy, Inc | Pharmacy | 1816 S Fm 51 Ste 1600, Decatur, TX 76234-3665 | 2020-07-10 |
| 1801441860 | Rite Care Pharmacy | Pharmacy | 1996 Candler Rd, Decatur, GA 30032-4225 | 2019-08-07 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1730605734 | Ganesha Rx Care Group 2, LLC | Pharmacy | 2801 N Decatur Rd Ste 130, Decatur, GA 30033-5949 | 2017-08-21 |
| 1255853784 | Anchor Rx Pharmacy | Pharmacy | 2139 Lawrenceville Hwy, Decatur, GA 30033-4321 | 2017-07-17 |
| 1841532546 | Priceville Pharmacy LLC | Pharmacy | 2941 Point Mallard Pkwy, Suite A, Decatur, AL 35603 | 2013-03-20 |
| 1508106121 | Murks Village Market Inc | Pharmacy | 108b East Delaware Street, Decatur, MI 49045 | 2013-02-19 |
| 1902162548 | Apothecary Sales Inc | Pharmacy | 3220 Highway 31 S Ste A2, Decatur, AL 35603-1731 | 2012-04-09 |
| 1760780233 | Rite Aid | Pharmacy | 1526 6th Av. Se, Decatur, AL 35601-4561 | 2011-03-08 |
| 1285943829 | Victory Pharmacy | Pharmacy | 2280 E William St, Decatur, IL 62521-1528 | 2010-09-30 |
| Find all providers in DECATUR | ||||
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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.