National Provider Identifier Database

UNIVERSITY OF TEXAS M D ANDERSON
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

UNIVERSITY OF TEXAS M D ANDERSON
1515 HOLCOMBE BLVD UNIT 90
HOUSTON, TX77030-4000
Phone: 713-792-6125
Fax: 713-794-1616
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X
Institutional Pharmacy 3336I0012X
Specialty Pharmacy 3336S0011X

* Indicates primary specialty

NPI Profile & details for UNIVERSITY OF TEXAS M D ANDERSON

NPI Number 1508965435
Legal business name
LBN
UNIVERSITY OF TEXAS M D ANDERSON
Authorized official JEFF MCCLUSKY - (DIRECTOR, PHARMACY OPERATIONS)
Entity Organization
Organization subpart No
Enumeration date 09/21/2006
Last updated 01/24/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: 6026
  • TX Medicaid: 112672402
  • Other: 2099226 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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