HEALTHSCRIPTS SPECIALTY PHARMACY LLC (HEALTHSCRIPTS SPECIALTY PHARMACY, LLC) - NPI NUMBER 1366788754

Summary

Provider Name: HEALTHSCRIPTS SPECIALTY PHARMACY LLC (HEALTHSCRIPTS SPECIALTY PHARMACY, LLC)

NPI Number: 1366788754

Clasification: Pharmacy (3336C0004X)

Specialization: Compounding Pharmacy

Address:
13020 DAIRY ASHFORD RD STE 301
SUGAR LAND, TX
ZIP 77478

Phone Number: (832) 532-5118



Detailed Information

HEALTHSCRIPTS SPECIALTY PHARMACY LLC is a compounding pharmacy pharmacy in Sugar Land, TX. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner�s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. The assigned NPI number for this provider is 1366788754 and is registered as an organization entity type.
The provider Is Doing Business As Healthscripts Specialty Pharmacy, Llc.

The provider's business address is:

13020 DAIRY ASHFORD RD STE 301
SUGAR LAND, TX
ZIP 77478-151
Phone: (832) 532-5118
Fax: (855) 595-0930

The provider's authorized official is Kamran Nezami .
The authorized official title is Ceo and has the following contact phone number (832) 770-8180.

The enumeration date for this NPI number is 12/13/2012 and was last updated on 3/18/2015.

Map - Location of Practice

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 3336C0004X Pharmacy Compounding Pharmacy No
2 3336L0003X Pharmacy Long Term Care Pharmacy No
3 3336C0003X Pharmacy Community/Retail Pharmacy 28368 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 2138107 OTHER PK

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1366788754 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name HEALTHSCRIPTS SPECIALTY PHARMACY LLC The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider Other Organization Name HEALTHSCRIPTS SPECIALTY PHARMACY, LLC Other name by which the organization provider is or has been known.
6 Provider Other Organization Name Type Code 3 Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
7 Provider First Line Business Practice Location Address 13020 DAIRY ASHFORD RD STE 301 The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
8 Provider Business Practice Location Address City Name SUGAR LAND The city name in the location address of the provider being identified.
9 Provider Business Practice Location Address State Name TX The State code in the location of the provider being identified.
10 Provider Business Practice Location Address Postal Code 774783151 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
11 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
12 Provider Business Practice Location Address Telephone Number 8325325118 The telephone number associated with the location address of the provider being identified.
13 Provider Business Practice Location Address Fax Number 8555950930 The fax number associated with the location address of the provider being identified.
14 Provider Enumeration Date 12/13/2012 The date the provider was assigned a unique identifier (assigned an NPI).
15 Last Update Date 3/18/2015 The date that a record was last updated or changed.
16 Authorized Official Last Name NEZAMI The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
17 Authorized Official First Name KAMRAN The first name of the authorized official.
18 Authorized Official Title or Position CEO The title or position of the authorized official.
19 Authorized Official Telephone Number 8327708180 The 10-position telephone number of the authorized official.
20 Healthcare Provider Taxonomy Code 1 3336C0004X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
21 Healthcare Provider Primary Taxonomy Switch 1 N
22 Healthcare Provider Taxonomy Code 2 3336L0003X
23 Healthcare Provider Primary Taxonomy Switch 2 N
24 Healthcare Provider Taxonomy Code 3 3336C0003X
25 Provider License Number 3 28368 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
26 Provider License Number State Code 3 TX The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
27 Healthcare Provider Primary Taxonomy Switch 3 Y
28 Other Provider Identifier 1 2138107 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
29 Other Provider Identifier Type Code 1 01 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
30 Other Provider Identifier Issuer 1 PK
31 Is Organization Subpart N

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This page was last updated on: 4/19/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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