Afhcph 1 LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

25299 Issued in TX

Legal business name

AFHCPH 1 LP

Practice address

4833 50TH St
Lubbock, TX 79414-3418

Phone

(806) 771-3565

Fax

(806) 771-3560

NPI assigned

Nov 3, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Timothy Oursbourn

Title

Pic

Phone

(806) 771-3565

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PREMIER HEALTH CARE CENTER PHARMACY Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013096791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4833 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794143418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4833 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794143418",
            "telephone_number": "806-771-3565",
            "fax_number": "806-771-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFHCPH 1 LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OURSBOURN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "806-771-3565"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "25299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4543078",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PREMIER HEALTH CARE CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Affinity Distribution, Inc.
• Affordable Dentures & Implants - Texas XII, PLLC
• Affordable Healthcare Clinic of Lubbock, Inc.
• Afhcph (1) LP
• Afhcph (1), LP
• Achankeng Afiadata, M.D.
• Carine Afiadata
• Agnes B. Dent
• Agnes Dent
• Mario Lee Aguayo, CRNA

• Community/Retail Pharmacy in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.