JOHN HALSEY PHARMACY NPI 1225046956

NPI Information

NPI: 1225046956
Provider Name: JOHN HALSEY PHARMACY
Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
4102 24TH ST
STE 103
LUBBOCK, TX
ZIP 79410
Phone: (806) 795-8555
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JOHN HALSEY PHARMACY is a clinic pharmacy pharmacy in Lubbock, TX. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. JOHN HALSEY PHARMACY NPI is 1225046956. The provider is registered as an organization entity type.

The provider's business location address is:

4102 24TH ST
STE 103
LUBBOCK, TX
ZIP 79410-806
Phone: (806) 795-8555
Fax: (806) 795-8555

The provider's authorized official is Eric Pendarvis .
The authorized official title is Pic and has the following contact phone number (806) 795-8555.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 8/22/2020.

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
1	3336C0002X	Pharmacy	Clinic Pharmacy			Yes
2	3336C0003X	Pharmacy	Community/Retail Pharmacy			X
3	3336M0002X	Pharmacy	Mail Order Pharmacy			X
4	3336S0011X	Pharmacy	Specialty Pharmacy			X
5	333600000X	Pharmacy		11706	TEXAS	X
6	3336C0004X	Pharmacy	Compounding Pharmacy			X

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
1	120624	MEDICAID	TEXAS
2	4526046	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

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: 11/14/2023

NPI Synchronization or Removal

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