MILLENNIUM MEDS MANAGEMENT LLC (NPI# 1720409816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720409816 |
Entity Type | Organization |
Organization Name | MILLENNIUM MEDS MANAGEMENT LLC |
Practice Address |
5208 Windjammer Rd Plano TX 75093-4023 |
Mailing Address |
Po Box 29211 Phoenix AZ 85038-9211 |
Practice Telephone | 8004776770 |
Practice Fax Number | 6028890483 |
Mailing Telephone | 6022736770 |
Mailing Fax Number | 6028890483 |
Enumeration Date | 2013-12-17 |
Last Update Date | 2013-12-17 |
Authorized Official Name | MARK W WINES (CEO) |
Authorized Official Telephone | 8004776770 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
Street Address |
5208 WINDJAMMER RD |
City | PLANO |
State | TX |
Zip Code | 75093-4023 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
Find all providers in zip 75093 |
Taxonomy Code | 332900000X |
Grouping | Suppliers |
Classification | Non-Pharmacy Dispensing Site |
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
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 |
---|---|---|---|---|
1932630100 | It3 Medical LLC | Non-Pharmacy Dispensing Site | 7709 San Jacinto Pl, Ste 101 Bldg 3, Plano, TX 75024-3215 | 2017-03-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760959860 | Pancho Independent Pharmacy Inc | Non-Pharmacy Dispensing Site | 790 Keller Pkwy Ste 1505, Keller, TX 76248-2403 | 2018-10-26 |
1558842633 | Appianrx, LLC | Non-Pharmacy Dispensing Site | 7700 Main Street, Ste. 435, Houston, TX 77030-4456 | 2018-08-27 |
1366939738 | Texas Health Presbyterian Hospital Dallas | Non-Pharmacy Dispensing Site | 8160 Walnut Hill Ln Ste 1, Dallas, TX 75231-4385 | 2018-04-20 |
1134552508 | Cigna Onsite Health LLC | Non-Pharmacy Dispensing Site | 199 Planters Rd, Sunnyvale, TX 75182-9601 | 2013-08-20 |
1053744417 | Cigna Onsite Health LLC | Non-Pharmacy Dispensing Site | 7834 C F Hawn Fwy, Dallas, TX 75217-6529 | 2013-08-20 |
1184999674 | Mri Enterprises LLC | Non-Pharmacy Dispensing Site | 6500 Boeing Dr Ste T-3, El Paso, TX 79925-1167 | 2012-03-15 |
1912230699 | Jp Innovations, Inc. | Non-Pharmacy Dispensing Site | 1222 Babcock Rd, Suite 103, San Antonio, TX 78201-6601 | 2009-09-11 |
1649407834 | Texas Department of State Health Services | Non-Pharmacy Dispensing Site | 1100 West 49th Street, Austin, TX 78714-9347 | 2009-06-16 |
1265633119 | Optical Headquarters | Non-Pharmacy Dispensing Site | 1710 Fredericksburg Rd, San Antonio, TX 78201-5033 | 2007-05-29 |
1609927185 | Chad E Sullivan | Non-Pharmacy Dispensing Site | 4104 Yellowstone Dr, Pasadena, TX 77504-3427 | 2007-01-13 |
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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.