SPECIALTY PHARMACY SERVICES, INC. (NPI# 1417201286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417201286 |
| Entity Type | Organization |
| Organization Name | SPECIALTY PHARMACY SERVICES, INC. |
| Practice Address |
2006 S 1st St Suite C Temple TX 76504-7450 |
| Practice Telephone | 2547911751 |
| Practice Fax Number | 2547703183 |
| Mailing Telephone | 2547911751 |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |
| Authorized Official Name | DR. STEVE D MITCHELL (NUCLEAR PHARMACIST) |
| Authorized Official Telephone | 2547911851 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835N0905X |
Pharmacist Specialization: Nuclear |
16722 | TX | Pharmacy Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | SPECIALTY PHARMACY SERVICES, INC. | 533 Eglin Parkway Ne, Fort Walton Beach, FL 32547 |
| Street Address |
2006 S 1ST ST SUITE C |
| City | TEMPLE |
| State | TX |
| Zip Code | 76504-7450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437652419 | Devin L. Castellanos | Nurse Practitioner | 2006 S 1st St, Temple, TX 76504-7450 | 2018-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194243717 | Courtenay A Eddins | Occupational Therapy Assistant | 2010 Sw H K Dodgen Loop #201, Temple, TX 76504 | 2017-09-04 |
| 1891213500 | Melody Woods | Physical Therapy Assistant | 2010 Sw Hk Dodgen Loop, Suite 201, Temple, TX 76504 | 2017-09-01 |
| 1194255992 | Elizabeth Ford | Radiology | 202 Woodbridge Blvd 247, Temple, TX 76504 | 2017-06-14 |
| 1790223055 | Dinella Quinones | Specialist/Technologist | 2010 Sw Hkdodgen Loop, Suite 201, Temple, TX 76504 | 2017-02-07 |
| 1194277400 | Trina Morton | Specialist | 5297 S 31st Suite117a, Temple, TX 76504 | 2016-11-03 |
| 1134570922 | Plains Er Management Temple Ltd | Clinic/Center | 1551 W. Central Ave, Temple, TX 76504 | 2016-06-23 |
| 1962853770 | Express Er Temple, P.a. | Emergency Medicine | 1551 W. Central Avenue, Temple, TX 76504 | 2016-06-23 |
| 1306262548 | Nancy Lynne Sykes | Counselor | 2027 S 61st St Ste 121, Temple, TX 76504 | 2014-03-12 |
| 1972930683 | Taneka L Patrick | Social Worker | 2820 W Avenue O Ste B, Temple, TX 76504 | 2013-09-27 |
| 1255645990 | Mary Jane Ireland | Nurse Practitioner | 1901 Veterans Memorial Blvd, Temple, TX 76504 | 2010-08-05 |
| Find all providers in zip 76504 | ||||
| Taxonomy Code | 1835N0905X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Nuclear |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in procurement, compounding, quality control testing, dispensing, distribution, and monitoring of radiopharmaceuticals. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831265610 | Bala S Nadesan | Pharmacist | 203 W Avenue U, Temple, TX 76504-7426 | 2006-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225429426 | Cherryl Daigre Cordum | Pharmacist | 4447 Brass Way, Dallas, TX 75236-2001 | 2015-02-10 |
| 1215276613 | Vu Dang | Pharmacist | 3851 Roger Brooke Drive, Fort Sam Houston, TX 78234-6200 | 2013-02-05 |
| 1114203171 | Peace Umoh-thomas | Pharmacist | 5161 Franz Rd, Katy, TX 77493-1754 | 2011-10-21 |
| 1467514760 | John Douglas Thomas | Pharmacist | 2200 Bergquist Dr, Suite 1, Lackland A F B, TX 78236-9907 | 2006-12-14 |
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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.