NPIMap

Organization Active NPI

Oncology Pharmacy Services, Inc.

  • Community/Retail Pharmacy
  • Grapevine, TX
National Provider Identifier
1114208683
Registry record updated Oct 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ONCOLOGY PHARMACY SERVICES, INC.
Doing business as
Texas Oncology Pharmacy Services - Grapevine
Practice address
1631 Lancaster Dr
Suite 150
Grapevine, TX 76051-3585
Phone
(817) 310-7027
Fax
(817) 310-7088
NPI assigned
Aug 29, 2011
Organization subpart
Yes
Parent organization
ONCOLOGY PHARMACY SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2020

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

Authorized official

Name
Kim Shaddox
Title
Director
Phone
(972) 997-8000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 27523 TX
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1631 Lancaster Dr
Suite 150
Grapevine, TX 76051-3585

Mailing address

PO Box 731145
Dallas, TX 75373-1145
Phone (972) 997-8103

Other identifiers 1

IdentifierTypeStateIssuer
466808OtherTXDRUG VENDOR PROGRAM

Other names 1

  • Texas Oncology Pharmacy Services - Grapevine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120510000634 TX DME Supplier - Pharmacy 6002937190 Practice locations: Grapevine, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Texas Oncology Pharmacy1631 Lancaster Dr, Grapevine, TX 76051-3586(817) 310-7027 Epoetin|Immunosuppressive Drugs|Oral Anticancer Drugs Does not accept assignmentParticipating since May 26, 2000

National Provider Directory

National Provider Directory
Tax ID family
Oncology Pharmacy Services Inc46 organizations share this tax ID, including this one
Part of
Oncology Pharmacy Services Inc

Other organizations with this tax ID 45

Organizations that report the same tax identification number in the National Provider Directory.

View all 45

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602288000000",
    "number": "1114208683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 731145",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753731145",
            "telephone_number": "972-997-8103",
            "fax_number": "469-467-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 LANCASTER DR",
            "address_2": "SUITE 150",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513585",
            "telephone_number": "817-310-7027",
            "fax_number": "817-310-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONCOLOGY PHARMACY SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ONCOLOGY PHARMACY SERVICES, INC",
        "enumeration_date": "2011-08-29",
        "last_updated": "2020-10-10",
        "certification_date": "2020-10-10",
        "status": "A",
        "authorized_official_last_name": "SHADDOX",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-997-8000"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "TX",
            "license": "27523",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRUG VENDOR PROGRAM",
            "identifier": "466808",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Oncology Pharmacy Services - Grapevine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Texas Oncology Pharmacy Services - Grapevine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.