TIM WASSON INCORPORATED (NPI# 1356341341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356341341 |
| Entity Type | Organization |
| Organization Name | TIM WASSON INCORPORATED |
| Other Organization Name | MEDICINE SHOPPE |
| Practice Address |
612 E Main St Henderson TX 75652-2617 |
| Practice Telephone | 9036571593 |
| Practice Fax Number | 9036578448 |
| Mailing Telephone | 9036571593 |
| Mailing Fax Number | 9036578448 |
| Enumeration Date | 2005-07-31 |
| Last Update Date | 2010-03-27 |
| Authorized Official Name | MR. TERRY TIM WASSON (PRESIDENT) |
| Authorized Official Telephone | 9036571593 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
21419 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 143452 | 05 | |
| TX | DEA # | BT1854416 | 01 |
| TX | NCPDP # | 4567737 | 01 |
| Other Name | Type Code |
|---|---|
| MEDICINE SHOPPE | Doing Business As Name - Organization |
| Street Address |
612 E MAIN ST |
| City | HENDERSON |
| State | TX |
| Zip Code | 75652-2617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264384 | John Etakibuebu | Pharmacist | 2415 Hwy 79 S, Henderson, TX 75652 | 2020-01-15 |
| 1841758596 | Janet Juanita Ray | Registered Nurse | 1987 Fm 2276 N, Henderson, TX 75652 | 2019-03-12 |
| 1912490483 | Matthew Davis Acres | Dentist | 1910 Tx-43, Henderson, TX 75652 | 2018-06-11 |
| 1467863407 | Counseling Services | Counselor | 1103 Wilson Street, Henderson, TX 75652 | 2014-05-13 |
| 1285900852 | Linda June Pool | Music Therapist | 6861 Fm 1251 E., Henderson, TX 75652 | 2012-03-28 |
| 1780992586 | Furqueron & Jackson Dentistry Partnership | Dentist | 1910 State Hwy 43 East, Henderson, TX 75652 | 2010-09-15 |
| 1235396359 | Crystal Touchstone | Physical Therapy Assistant | 1010 W Main, Henderson, TX 75652 | 2008-05-16 |
| 1609082379 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 103 Truman, Henderson, TX 75652 | 2007-05-16 |
| 1790997302 | Billy George Brown | Dentist | 300-b North High Street, Henderson, TX 75652 | 2007-05-04 |
| 1043379761 | Donna G Mason-mcfalll | Counselor | 1103 Wilson St, Henderson, TX 75652 | 2006-12-08 |
| Find all providers in zip 75652 | ||||
| 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 |
|---|---|---|---|---|
| 1558980599 | Total Infusion Care Inc | Pharmacy | 3041 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052-4444 | 2020-04-09 |
| 1407487390 | Cornerstone Pharmacy, LLC | Pharmacy | 1330 Us Hwy 45 N Ste D, Henderson, TN 38340 | 2020-01-29 |
| 1508333899 | Khoi Ha Pllc | Pharmacy | 3175 Saint Rose Pkwy Ste 120, Henderson, NV 89052-3507 | 2018-10-25 |
| 1457758948 | Atlas Specialty Pharmacy LLC | Pharmacy | 301 N Pecos Rd Ste D, Henderson, NV 89074-1350 | 2014-11-26 |
| 1982834131 | Valley Lake Inc | Pharmacy | 2245 N Green Valley Pkwy, Henderson, NV 89014-5024 | 2009-07-22 |
| 1164661914 | Jib Enterprises LLC | Pharmacy | 1590 W Horizon Ridge Pkwy, Suite#130, Henderson, NV 89012-3507 | 2009-02-18 |
| 1518033273 | Pharmacy Corporation of America | Pharmacy | 1910 Ross Mill Rd, Henderson, NC 27537-8789 | 2006-11-27 |
| 1881781557 | Donald Frank Norris | Pharmacy | 1060 N Main St, Henderson, NE 68371-0711 | 2006-10-06 |
| 1669571972 | Warm Springs Road Cvs, L.L.C. | Pharmacy | 21 W Horizon Ridge Pkwy, Henderson, NV 89012-5307 | 2006-09-22 |
| 1457453714 | Walgreen Co. | Pharmacy | 402 2nd St, Henderson, KY 42420-3221 | 2006-09-05 |
| Find all providers in HENDERSON | ||||
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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.