INFUSION SERVICES & SPECIALTY PHARMACY (NPI# 1932237534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932237534 |
| Entity Type | Organization |
| Organization Name | INFUSION SERVICES & SPECIALTY PHARMACY |
| Other Organization Name | ISRX CORPORATION |
| Practice Address |
1724 East Broad St. Suite 136 Mansfield TX 76063 |
| Practice Telephone | 8174535022 |
| Practice Fax Number | 8174535027 |
| Mailing Telephone | 8174535022 |
| Mailing Fax Number | 8174535027 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2010-04-02 |
| Authorized Official Name | MS. MARSHA LYN PROCTOR (PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 8179370159 |
| Authorized Official Credential | PHAMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835G0303X |
Pharmacist Specialization: Geriatric |
25430 | TX | Pharmacy Service Providers |
| N | 1835N1003X |
Pharmacist Specialization: Nutrition Support |
25430 | TX | Pharmacy Service Providers |
| N | 1835X0200X |
Pharmacist Specialization: Oncology |
25430 | TX | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
25430 | TX | Pharmacy Service Providers |
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
25430 | TX | Pharmacy Service Providers |
| N | 163WI0500X |
Registered Nurse Specialization: Infusion Therapy |
25430 | TX | Nursing Service Providers |
| N | 163WH0200X |
Registered Nurse Specialization: Home Health |
25430 | TX | Nursing Service Providers |
| Y | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
25430 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ISRX Corporation | Doing Business As Name - Organization |
| Street Address |
1724 EAST BROAD ST. SUITE 136 |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
| 1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
| 1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
| 1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
| 1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| Find all providers in zip 76063 | ||||
| Taxonomy Code | 261QI0500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Infusion Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821148404 | Woodside Medical Group, Inc. | Clinic/Center | 475 Lexington Ave, Mansfield, OH 44907-1501 | 2007-01-12 |
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|---|---|---|---|---|
| 1144836222 | Vibra Clinics LLC | Clinic/Center | 7501 Wallace Boulevard, Suite B, Amarillo, TX 79124-2150 | 2020-09-23 |
| 1629683891 | Med Iv LLC | Clinic/Center | 23510 Kingsland Blvd Ste 101, Katy, TX 77494-4126 | 2020-09-14 |
| 1205451002 | Cb's Infusion Center, LLC | Clinic/Center | 2606 Feather Green Trl, Fresno, TX 77545-7160 | 2020-06-08 |
| 1104454354 | Striker Infusion Services | Clinic/Center | 1318 Pin Oak Rd, Katy, TX 77494-6848 | 2020-03-31 |
| 1467084376 | Advanced Tms Neuro Therapeutics, LLC | Clinic/Center | 7100 Westwind Dr Ste 300b, El Paso, TX 79912-1743 | 2020-02-08 |
| 1578108254 | Carissa Arielle Ainsworth | Clinic/Center | 7700 Main St Ste 210, Houston, TX 77030-4457 | 2019-11-17 |
| 1194368605 | Advanced Infusion Services, LLC | Clinic/Center | 1901 Medi Park Dr Ste 1057, Amarillo, TX 79106-2168 | 2019-10-28 |
| 1487217766 | Pro Med Infusion LLC | Clinic/Center | 13134 Dairy Ashford Rd Ste 900b, Sugar Land, TX 77478-3756 | 2019-04-22 |
| 1871060251 | Diabetes Relief Houston Southwest LLC | Clinic/Center | 8200 Wednesbury Ln Ste 390, Houston, TX 77074-2999 | 2018-10-24 |
| 1316412109 | Ais Bs LLC | Clinic/Center | 6671 Southwest Fwy Ste 300m, Houston, TX 77074-2212 | 2018-10-08 |
| 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.