GULF BEND MH-MR CENTER (NPI# 1326239054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326239054 |
| Entity Type | Organization |
| Organization Name | GULF BEND MH-MR CENTER |
| Practice Address |
6502 Nursery Drive Suite 100 Victoria TX 77904-1178 |
| Practice Telephone | 3615750611 |
| Practice Fax Number | 3615785500 |
| Mailing Telephone | 3615750611 |
| Mailing Fax Number | 3615785500 |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2008-11-21 |
| Authorized Official Name | MR. DONALD L. POLZIN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3615822314 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
13921 | TX | Suppliers |
| Street Address |
6502 NURSERY DRIVE SUITE 100 |
| City | VICTORIA |
| State | TX |
| Zip Code | 77904-1178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932651734 | Angela Roberts Covarrubias | Nurse Practitioner | 6502 Nursery Drive, Suite 100, Victoria, TX 77904 | 2016-10-27 |
| 1760841043 | Gulf Bend Mgmr Center | Clinic/Center | 6502 Nursery Drive, Victoria, TX 77904 | 2016-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528600384 | Bertha P Mendieta | Physician Assistant | Citizens Victoria Surgical Associates, 2705 Hospital Drive Suite 400, Building B, Victoria, TX 77904 | 2019-10-14 |
| 1952968901 | Eliza Welder | Counselor | 6502 Nursery Dr. Suite, Suite 100, Victoria, TX 77904 | 2019-05-24 |
| 1154806529 | Tammy Lynn Hogan | Counselor | 4702 N. Laurent Ste D, Victoria, TX 77904 | 2018-10-01 |
| 1740724939 | Sarah Ritchea | Counselor | 6502 Nursery Dr. Suite 100, Victoria, TX 77904 | 2016-12-07 |
| 1992177489 | World of Words Speech & Feeding Services, LLC | Speech-Language Pathologist | 120 Appaloosa Dr., Victoria, TX 77904 | 2015-10-23 |
| 1396115739 | Katelin Mcvey | Physician Assistant | 106 Springwood Drive, Suite 100, Victoria, TX 77904 | 2015-09-28 |
| 1689070062 | Jeremy M Thompson Dds Ms Pllc | Clinic/Center | 103 Professional Park Driv, Victoria, TX 77904 | 2014-11-12 |
| 1265864144 | Pf Development 23, LLC | Hospice Care, Community Based | 1501 E Mockingbird Ln Ste 301b, Victoria, TX 77904 | 2013-08-02 |
| 1053669762 | Victoria Dentistry, Pllc | Dentist | 8809 North Navarro, Ste.100, Victoria, TX 77904 | 2012-08-28 |
| 1508126442 | Ayo Adu, M.d., Pllc | Family Medicine | 9410 Ne Zac Lentz Parkway, Suite 200, Victoria, TX 77904 | 2012-05-25 |
| Find all providers in zip 77904 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548612443 | Lifecare Pharmacy of Victoria Inc | Pharmacy | 2806 N Navarro St Ste A, Suite A, Victoria, TX 77901-3937 | 2016-07-05 |
| 1619326998 | Victoria Drug Company | Pharmacy | 1821 Main St, Victoria, VA 23974-9204 | 2016-06-08 |
| 1942639935 | Rogers Pharmacy #5 | Pharmacy | 8621 N Navarro St, Victoria, TX 77904-2603 | 2013-11-11 |
| 1053456087 | Victoria Drug Company | Pharmacy | 1821 Main Street, Victoria, VA 23974 | 2007-02-20 |
| 1588705123 | Rogers Pharmacy #3 | Pharmacy | 512 E Rio Grande St, Victoria, TX 77901-6033 | 2007-02-08 |
| 1992878839 | Bruce W. Rogers | Pharmacy | 4404 N Laurent St, Victoria, TX 77901-2742 | 2006-11-16 |
| 1801997937 | Rogers Pharmacy #1 | Pharmacy | 4402 N Laurent St, Victoria, TX 77901-2742 | 2006-09-25 |
| 1568577716 | Harding & Parker, Inc. | Pharmacy | 2806 North Navarro Street, Suite A, Victoria, TX 77901-3918 | 2006-08-20 |
| 1215212873 | Walgreens | Pharmacy | 9005 N Navarro St, Victoria, TX 77904-1563 | 2011-10-14 |
| 1356482996 | Rogers Pharmacy #4 | Pharmacy | 6502 Nursery Dr, Suite 102, Victoria, TX 77904-1178 | 2007-02-08 |
| Find all providers in VICTORIA | ||||
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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.