National Provider Identifier Database

JOHN HALSEY PHARMACY
Compounding Pharmacy

A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner?s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.


Contact Information

JOHN HALSEY PHARMACY
4102 24TH ST
STE 103
LUBBOCK, TX79410-1806
Phone: 806-795-8555
Fax: 806-795-8555
Website:
Specialty Taxonomy Code
* Compounding Pharmacy 3336C0004X
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X
Mail Order Pharmacy 3336M0002X
Pharmacy 333600000X
Specialty Pharmacy 3336S0011X

* Indicates primary specialty

NPI Profile & details for JOHN HALSEY PHARMACY

NPI Number 1225046956
Legal business name
LBN
JOHN HALSEY PHARMACY
Authorized official ERIC PENDARVIS - (PIC)
Entity Organization
Organization subpart No
Enumeration date 08/05/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: 11706
  • TX Medicaid: 120624
  • Other: 4526046 OTHER ID NUMBER-COMMERCIAL NUMBER

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.

Reviews for JOHN HALSEY PHARMACY

There are currently no reviews for JOHN HALSEY PHARMACY


NPIdb - Home
v2.201