QOL MEDS LLC (QOL MEDS) - NPI NUMBER 1205270675

Summary

Provider Name: QOL MEDS LLC (QOL MEDS)

NPI Number: 1205270675

Clasification: Pharmacy (3336L0003X)

Specialization: Long Term Care Pharmacy

Address:
500 THOMPSON DR
KERRVILLE, TX
ZIP 78028

Phone Number: (830) 896-0256



Detailed Information

QOL MEDS LLC is a long term care pharmacy pharmacy in Kerrville, TX. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. The assigned NPI number for this provider is 1205270675 and is registered as an organization entity type.
The provider Is Doing Business As Qol Meds.

The provider's business address is:

500 THOMPSON DR
KERRVILLE, TX
ZIP 78028-144
Phone: (830) 896-0256
Fax: (830) 792-0667

The provider's authorized official is Richard Rizzo .
The authorized official title is Cfo and has the following contact phone number (412) 931-3131.

The enumeration date for this NPI number is 4/29/2013 and was last updated on 11/19/2013.

Map - Location of Practice

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Taxonomy Codes

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
1 3336L0003X Pharmacy Long Term Care Pharmacy 28530 TX Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 2140099 OTHER PK

NPI Record

No. Field Name Field Value
1 NPI 1205270675
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name QOL MEDS LLC
5 Provider Other Organization Name QOL MEDS
6 Provider Other Organization Name Type Code 3
7 Provider First Line Business Practice Location Address 500 THOMPSON DR
8 Provider Business Practice Location Address City Name KERRVILLE
9 Provider Business Practice Location Address State Name TX
10 Provider Business Practice Location Address Postal Code 780285144
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 8308960256
13 Provider Business Practice Location Address Fax Number 8307920667
14 Provider Enumeration Date 4/29/2013
15 Last Update Date 11/19/2013
16 Authorized Official Last Name RIZZO
17 Authorized Official First Name RICHARD
18 Authorized Official Title or Position CFO
19 Authorized Official Telephone Number 4129313131
20 Healthcare Provider Taxonomy Code 1 3336L0003X
21 Provider License Number 1 28530
22 Provider License Number State Code 1 TX
23 Healthcare Provider Primary Taxonomy Switch 1 Y
24 Other Provider Identifier 1 2140099
25 Other Provider Identifier Type Code 1 01
26 Other Provider Identifier Issuer 1 PK
27 Is Organization Subpart N

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.