MEMORIAL HERMANN MEDICAL GROUP (NPI# 1447392154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447392154 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HERMANN MEDICAL GROUP |
| Other Organization Name | SOUTH TEXAS PHARMACY |
| Practice Address |
2100 Regional Medical Dr Wharton TX 77488-9719 |
| Practice Telephone | 9795324910 |
| Practice Fax Number | 9795326786 |
| Mailing Telephone | 9795324910 |
| Mailing Fax Number | 9795326786 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2012-10-06 |
| Authorized Official Name | MR. WILLIAM PERRY FLOWERS (SYSTEM EXECUTIVE PT CARE SUPPORT) |
| Authorized Official Telephone | 9795321700 |
| Authorized Official Credential | R.PH., M.S. |
| Is Organization Subpart | Y |
| Parent Organization Name | MEMORIAL HERMANN MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
11855 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NABP | 4573158 | 01 | |
| TX | 142995 | 05 |
| Other Name | Type Code |
|---|---|
| SOUTH TEXAS PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245844281 | Memorial Hermann Medical Group | Family Medicine | 909 Frostwood Dr Ste 1.100, Houston, TX 77024-2301 | 2020-09-08 |
| 1891283396 | Memorial Hermann Medical Group | Hospitalist | 9250 Pinecroft Dr, Shenandoah, TX 77380-3218 | 2018-04-30 |
| 1982099255 | Memorial Hermann Medical Group | Family Medicine | 909 Frostwood Dr, Suite 1.100, Houston, TX 77024-2301 | 2015-04-02 |
| 1487880035 | Memorial Hermann Medical Group | Clinic/Center | 929 Gessner, Suite 1500, Houston, TX 77024-2675 | 2009-06-09 |
| 1003985102 | Memorial Hermann Medical Group | Internal Medicine | 909 Frostwood Dr., Suite 1.100, Houston, TX 77024-2301 | 2006-11-06 |
| Street Address |
2100 REGIONAL MEDICAL DR |
| City | WHARTON |
| State | TX |
| Zip Code | 77488-9719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679543409 | John Wayne Whitt | Urology | 2100 Regional Medical Dr, Wharton, TX 77488-9719 | 2006-01-24 |
| 1457829640 | Obuchukwuneme Ughanze Calais | Nurse Practitioner | 2100 Regional Medical Dr, Wharton, TX 77488-9719 | 2018-11-06 |
| 1649681354 | Laura Aronson | Family Medicine | 2100 Regional Medical Dr, Wharton, TX 77488-9719 | 2014-05-15 |
| 1528402997 | Tayyab Pasha | Pediatrics | 2100 Regional Medical Dr, Wharton, TX 77488-9719 | 2013-04-29 |
| 1518215383 | Taryn Leigh Teykl | Nurse Practitioner | 2100 Regional Medical Dr, Wharton, TX 77488-9719 | 2012-08-27 |
| 1780919027 | Janie Martinez Avila | Nurse Practitioner | 2100 Regional Medical Dr, Wharton, TX 77488-9719 | 2009-10-05 |
| 1215171913 | Sharrone Hill Taft | Physician Assistant | 2100 Regional Medical Dr, Wharton, TX 77488-9719 | 2009-04-24 |
| 1619147345 | Select Physical Therapy Holdings Inc | Clinic/Center | 2100 Regional Medical Dr, Wharton, TX 77488-9719 | 2008-03-10 |
| 1033303490 | Joyce Ego Eziashi Egbe | Pediatrics | 2100 Regional Medical Dr, Wharton, TX 77488-9719 | 2007-08-29 |
| 1770775264 | Heather Pietsch | Physical Therapy Assistant | 2100 Regional Medical Dr, Wharton, TX 77488-9719 | 2007-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449386 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Drive Suite 1305, Wharton, TX 77488 | 2020-08-28 |
| 1417413188 | El Campo Memorial Hospital | Family Medicine | Ladieu Technology Center Room 112, 911 Boling Highway, Wharton, TX 77488 | 2019-02-18 |
| 1740761311 | L S & Associates LLC | Contractor | 701 Mattie St, Wharton, TX 77488 | 2018-08-22 |
| 1740770361 | Blake Benson | Counselor | 4004 Peach Creek Dr, Wharton, TX 77488 | 2018-05-18 |
| 1750886495 | Clifford Eleazer Wilson | Pharmacist | 214 W Alhdag Avenue, Wharton, TX 77488 | 2018-03-26 |
| 1376045104 | There Is Victory In Jesus Recovery Center | Counselor | 218 North Houston Street, Wharton, TX 77488 | 2018-03-07 |
| 1578084877 | Wharton Eye Associates Pa | Ophthalmology | 10119 Us Hwy 59 South, Suite 4, Wharton, TX 77488 | 2017-06-28 |
| 1508386921 | El Campo Memorial Hospital | Family Medicine | 10358 Us Hwy 59 #a, Wharton, TX 77488 | 2017-06-27 |
| 1710334602 | Amgref Health Systems Corporation | Home Health | 307 West Milam Street, Suite 201, Wharton, TX 77488 | 2016-05-20 |
| 1073997078 | Elelyon Health Care LLC | Home Health | 607 N Fulton Street, Wharton, TX 77488 | 2015-07-20 |
| Find all providers in zip 77488 | ||||
| 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 |
|---|---|---|---|---|
| 1104920933 | Cvs Pharmacy Inc | Pharmacy | 1710 N Richmond Rd, Wharton, TX 77488-2713 | 2006-09-12 |
| 1447360060 | Costco Wholesale Corporation | Pharmacy | 315 State Route 15 N, Wharton, NJ 07885 | 2006-08-30 |
| 1215143268 | Ridha,llc | Pharmacy | 22 N Main St, Wharton, NJ 07885-2220 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790575 | Nextlevel Pharmaceuticals LLC | Pharmacy | 1110 Texas Pkwy, Stafford, TX 77477-6419 | 2020-11-06 |
| 1629679410 | Duehan Tran Ngo | Pharmacy | 403 W Sam Houston Pkwy N, Houston, TX 77024-4736 | 2020-11-06 |
| 1679174882 | Comanche County Medical Center Company | Pharmacy | 1870 State Hwy 36, Rising Star, TX 76471 | 2020-11-04 |
| 1629679717 | Edith Achebodt | Pharmacy | 2233 Avenue J Ste 103b, Arlington, TX 76006-5884 | 2020-11-04 |
| 1356942767 | Rxassist Pharmacy, Inc. | Pharmacy | 17020 Beaver Springs Dr Ste 8, Houston, TX 77090-2398 | 2020-11-03 |
| 1154921864 | Mbepe Health LLC | Pharmacy | 301 S 9th St Ste 121, Richmond, TX 77469-3448 | 2020-10-30 |
| 1639779366 | Mens African Investors | Pharmacy | 6355 S Peek Rd Ste 300, Katy, TX 77450-7195 | 2020-10-30 |
| 1861091977 | A Medizona Pharmacy | Pharmacy | 3700 Barker Cypress Rd, Suite 700, Houston, TX 77084 | 2020-10-20 |
| 1952900078 | Nudo Pharmacy LLC | Pharmacy | 104 Industrial Blvd Ste 201, Sugar Land, TX 77478-3174 | 2020-10-20 |
| 1194324277 | Rite Scripts Pharmacy Inc | Pharmacy | 13835 Westhollow Park Dr Apt 2805, Houston, TX 77082-1885 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MEMORIAL HERMANN MEDICAL GROUP.
| 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.