ONCOLOGY PHARMACY SERVICE, INC (NPI# 1710491295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710491295 |
| Entity Type | Organization |
| Organization Name | ONCOLOGY PHARMACY SERVICE, INC |
| Other Organization Name | TEXAS ONCOLOGY PHARMACY - NORTH AUSTIN |
| Practice Address |
12221 Renfert Way Ste 300 Austin TX 78758-5453 |
| Mailing Address |
Po Box 731145 Dallas TX 75373-1145 |
| Practice Telephone | 5126145941 |
| Mailing Telephone | 9729978103 |
| Mailing Fax Number | 4694672535 |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2020-10-10 |
| Authorized Official Name | J. ERNEST SIMS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9724902912 |
| Is Organization Subpart | Y |
| Parent Organization Name | ONCOLOGY PHARMACY SERVICE, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
31613 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS STATE BOARD OF PHARMACY | 31613 | 01 |
| Other Name | Type Code |
|---|---|
| Texas Oncology Pharmacy - North Austin | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932660644 | Oncology Pharmacy Service, Inc | Pharmacy | 1401 Medical Pkwy Ste 200, Cedar Park, TX 78613-5026 | 2019-03-26 |
| 1215973797 | Oncology Pharmacy Service, Inc | Durable Medical Equipment & Medical Supplies | 2121 Pease St, Suite 101, Harlingen, TX 78550-8321 | 2006-06-21 |
| Street Address |
12221 RENFERT WAY STE 300 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78758-5453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982661674 | Shubhada S. Shrikhande | Internal Medicine | 12221 Renfert Way Ste 300, Austin, TX 78758-5453 | 2006-04-27 |
| 1124358791 | Patricia Serna | Physician Assistant | 12221 Renfert Way Ste 300, Austin, TX 78758-5453 | 2010-01-05 |
| 1467548628 | Allison Elaine Gorrebeeck | Internal Medicine | 12221 Renfert Way Ste 300, Austin, TX 78758 | 2006-10-05 |
| 1780691063 | Laura Ann Davis | Physician Assistant | 12221 Renfert Way Ste 300, Austin, TX 78758-5453 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1083243661 | Donna Bella Laurel Portillo | Pharmacist | 12221 N Mopac Expwy, Austin, TX 78758 | 2020-04-05 |
| 1881249092 | Elizabeth Logan Anderson | Behavioral Analyst | 2100 Kramer Ln., Suite 150, Austin, TX 78758 | 2019-08-05 |
| 1295388502 | Bridget Sue Morgan | Behavioral Analyst | 2100 Kramer Ln #150, Austin, TX 78758 | 2019-07-17 |
| 1508326885 | Jonathan James Runnels | Anesthesiologist Assistant | 12221n Mopac, Austin, TX 78758 | 2019-03-22 |
| 1427527324 | Nayely Gutierrez | Dietitian, Registered | 8606 Delaware Ct, Austin, TX 78758 | 2018-11-20 |
| 1720569635 | Shari Wright | Licensed Vocational Nurse | 12349 Metric Blvs # 425, Austin, TX 78758 | 2018-08-28 |
| 1528545456 | Alexis N Bongiorno | Registered Nurse | 11901 Hobby Horse Court, 1516, Austin, TX 78758 | 2018-07-24 |
| 1679072573 | Lori Scott | Counselor | 1600 Payton Gin Road, Austin, TX 78758 | 2018-02-06 |
| 1003322488 | Lisa Robyn Lee | Behavior Technician | 2018 W Rundberg Ln, #13d, Austin, TX 78758 | 2017-12-20 |
| Find all providers in zip 78758 | ||||
| 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 |
|---|---|---|---|---|
| 1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
| 1942817911 | Vivent Pharmacy LLC | Pharmacy | 7215 Cameron Rd Ste B, Austin, TX 78752-2911 | 2020-09-24 |
| 1649885195 | Rocket Pharmacy, Inc. | Pharmacy | 316 W 12th St Ste Ll050, Austin, TX 78701-1815 | 2020-09-11 |
| 1831737642 | Cvs Pharmacy, Inc | Pharmacy | 901 East 5 Th St, Suite 140, Austin, TX 78702-4071 | 2019-12-12 |
| 1972149680 | Capsule Austin LLC | Pharmacy | 210 W 7th St Ste B, Austin, TX 78701-2903 | 2019-11-18 |
| 1427617570 | Shubha LLC | Pharmacy | 1139 W Braker Ln Ste 102, Austin, TX 78758-4113 | 2019-06-12 |
| 1467921668 | Clearview Specialty LLC | Pharmacy | 8101 Cameron Rd Ste 303, Austin, TX 78754-3818 | 2018-11-16 |
| 1639679319 | Randall Legacy Inc | Pharmacy | 8825 Bee Caves Rd Ste A, Austin, TX 78746-4720 | 2018-02-19 |
| 1356863898 | Raiine's Specialty Pharmacy LLC | Pharmacy | 1301 W 38th St Ste 135, Austin, TX 78705-1033 | 2017-07-15 |
| 1811364078 | Peoples Pharmacy | Pharmacy | 5505 W. Parmer Lane, Building 4, At Apple Wellness Center, Austin, TX 78727 | 2015-08-24 |
| Find all providers in AUSTIN | ||||
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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.