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Contact Information

TEXAS CHILDREN'S HOSPTIAL PHARMACY
6621 FANNIN ST STE WB1120
HOUSTON, TX77030-2369
 Phone: 832-824-1000
 Fax: 832-825-5261
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Children

282NC2000X A0[7] Hospital-Children’s (PPS excluded)
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for TEXAS CHILDREN'S HOSPTIAL PHARMACY

NPI # 1891971222
LBN Legal business name TEXAS CHILDREN'S HOSPTIAL PHARMACY
Authorized official WELDON GAGE - (EXECUTIVE VP, CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/16/2008
Last updated 12/10/2021 - About 4 years ago
Identifiers
TX License # 000117
TX Medicaid 250304
TX Medicaid 251034
TX Other HH0222 BCBS
TX Other 452333 MEDICARE
TX Other 453304 MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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