SPECIALIZED PHARMACY SERVICES, INC. (NPI# 1184679177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184679177 |
| Entity Type | Organization |
| Organization Name | SPECIALIZED PHARMACY SERVICES, INC. |
| Other Organization Name | SPECIALTY SHOES & DIABETIC SUPPLIES |
| Practice Address |
7645 Phelan Blvd Beaumont TX 77706-5753 |
| Mailing Address |
Po Box 7380 Beaumont TX 77726-7380 |
| Practice Telephone | 4098328750 |
| Practice Fax Number | 4098667996 |
| Mailing Telephone | 4098328750 |
| Mailing Fax Number | 4098667996 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2009-01-20 |
| Authorized Official Name | DONNA C FLANAKIN (ADMINISTRATOR) |
| Authorized Official Telephone | 4098328750 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 087291301 | 05 | |
| TX | 016053301 | 05 | |
| TX | BLUE CROSS BLUE SHIELD | 515247 | 01 |
| Other Name | Type Code |
|---|---|
| Specialty Shoes & Diabetic Supplies | Doing Business As Name - Organization |
| Street Address |
7645 PHELAN BLVD |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77706-5753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982176293 | Allen Family Home Care LLC | In Home Supportive Care | 4055 Dowlen Rd Ste 112, Beaumont, TX 77706 | 2018-12-27 |
| 1730661174 | Joseph Pryor Ingram | Counselor | 5450 Folsom Road #3, Beaumont, TX 77706 | 2018-09-02 |
| 1336644582 | Jenny Lee Broaddus | Counselor | 8150 N. Major Dr., Beaumont, TX 77706 | 2018-03-29 |
| 1528584026 | Amanthia Peace Williams | Pedorthist | 3645 Calder Ave., Beaumont, TX 77706 | 2017-08-16 |
| 1356863286 | Nicole Denise Williams | Speech-Language Pathologist | 970 North 23rd Street, Beaumont, TX 77706 | 2017-07-12 |
| 1487038923 | Associates for Dental Health, Pllc | Dentist | 415 Dowlen Rd Ste A, Beaumont, TX 77706 | 2015-07-15 |
| 1508264532 | Rose Anne Essex | Dietitian, Registered | 3510 Charleston Ln, Beaumont, TX 77706 | 2014-12-08 |
| 1780001933 | C. Asteris, Inc. | Contractor | 1465 W. Lucas Dr., Beaumont, TX 77706 | 2014-03-26 |
| 1376985820 | Erica J Hayes M D P A | Preferred Provider Organization | 4a Bayou Brandt Drive, Beaumont, TX 77706 | 2013-07-25 |
| 1194162909 | Hezron Omanga | Pharmacist | 3585 N. Dowlen Road, Beaumont, TX 77706 | 2013-06-03 |
| Find all providers in zip 77706 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588292684 | Ambulatory Strategies Physician Group | Durable Medical Equipment & Medical Supplies | 4046 Dowlen Rd, Beaumont, TX 77706-6849 | 2020-04-01 |
| 1063045656 | Beaver Medical Group, L.p. | Durable Medical Equipment & Medical Supplies | 839 Highland Springs Parkway, Building C, Beaumont, CA 92223 | 2020-02-21 |
| 1295381432 | Global Dme | Durable Medical Equipment & Medical Supplies | 442 E 6th St, Beaumont, CA 92223-2216 | 2019-08-14 |
| 1235697426 | Provisionam | Durable Medical Equipment & Medical Supplies | 3819 Phelan Blvd, Beaumont, TX 77707-2243 | 2019-03-06 |
| 1225589708 | J & C Orthotics and Prosthetics | Durable Medical Equipment & Medical Supplies | 3195 Calder Ave Ste 200, Beaumont, TX 77702-1426 | 2016-10-19 |
| 1649658238 | Sizewise Rentals LLC | Durable Medical Equipment & Medical Supplies | 11025 Eastex Freeway, Suites D/e, Beaumont, TX 77708 | 2015-05-14 |
| 1326451543 | Medical Plus Supplies, Inc | Durable Medical Equipment & Medical Supplies | 650 Magnolia St, Beaumont, TX 77701-1809 | 2014-06-05 |
| 1184963860 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3080 College St Ste 1, Beaumont, TX 77701-4606 | 2013-01-31 |
| 1053670398 | Park Infusioncare, Lp | Durable Medical Equipment & Medical Supplies | 3695 Stagg Dr, Beaumont, TX 77701 | 2012-05-07 |
| 1780826982 | Blue Shield Medical Supply | Durable Medical Equipment & Medical Supplies | 680 N 7th St # Tth, Beaumont, TX 77702-1741 | 2009-04-02 |
| Find all providers in BEAUMONT | ||||
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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.