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SPECIALIZED PHARMACY SERVICES INC. NPI 1184679177


NPI Information

NPI: 1184679177
Provider Name: SPECIALIZED PHARMACY SERVICES, INC.

Doing Business As: SPECIALTY SHOES & DIABETIC SUPPLIES

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
7645 PHELAN BLVD
BEAUMONT, TX
ZIP 77706
Phone: (409) 832-8750
Get Directions

SPECIALIZED PHARMACY SERVICES, INC. is a durable medical equipment medical supplies in Beaumont, TX. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SPECIALIZED PHARMACY SERVICES, INC. NPI is 1184679177. The provider is registered as an organization entity type.
The provider Is Doing Business As Specialty Shoes & Diabetic Supplies.

The provider's business location address is:

7645 PHELAN BLVD
BEAUMONT, TX
ZIP 77706-753
Phone: (409) 832-8750
Fax: (409) 866-7996

The provider's authorized official is Donna C Flanakin .
The authorized official title is Administrator and has the following contact phone number (409) 832-8750.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 1/20/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1016053301MEDICAIDTEXAS
2515247OTHERTEXASBLUE CROSS BLUE SHIELD
30472190001MEDICARE NSCTEXAS
4087291301MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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