Patrick J Healy

Primary specialty

PharmacyTaxonomy code 333600000X

Practice address

1000 S Fleishel Ave
Tyler, TX 75701-2037

Phone

(903) 593-0236

Fax

(903) 593-9375

NPI assigned

May 20, 2009

Last updated

Feb 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stephenson Pharmacy, LLC

  • Community/Retail Pharmacy
  • Tyler, TX
  • NPI 1336751270
  NPD Authorized official
• Stephenson Pharmacy

  • Pharmacy
  • Tyler, TX
  • NPI 1326152315
  Authorized official Same address or phone

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1033344924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S FLEISHEL AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012037",
            "telephone_number": "903-593-0236",
            "fax_number": "903-593-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S FLEISHEL AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012037",
            "telephone_number": "903-593-0236",
            "fax_number": "903-593-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEALY",
        "first_name": "PATRICK",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-20",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "25664",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145987",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healthline Medical Equipment LLC (AdaptHealth)
• Healthline Medical Equipment, Inc.
• Healthlink EMS LLC
• Healthport P.a. (Pain Recovery Center of Tyler)
• Healthy Mind Healthy Body Mobile Clinic LLC
• Hearing Professionals of America LLC
• Hearinglife Texas, LLC
• Kandiss Elizabeth Hearn, APRN, FNP-C
• Sandra Jean Hearnsberger, RN
• Heart to Heart Hospice of Tyler LTD

• Pharmacy in Tyler, TX
• Providers in Tyler, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.