Vista Specialty, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

31544 Issued in TX

Legal business name

VISTA SPECIALTY, LLC

Practice address

600 Methodist St.
Suite 1120
Red Oak, TX 75154

Phone

(281) 888-9403

Fax

(832) 767-2704

NPI assigned

Aug 7, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Chris Lee McElfresh

Title

Director of Implementation/Pharmacy

Phone

(972) 795-0262

Specialties & licenses 1

Addresses

Other names 1

• Vista Specialty Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552003200000",
    "number": "1114442522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 METHODIST ST.",
            "address_2": "SUITE 1120",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "75154",
            "telephone_number": "281-888-9403",
            "fax_number": "832-767-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 METHODIST ST.",
            "address_2": "SUITE 1120",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "75154",
            "telephone_number": "281-888-9403",
            "fax_number": "832-767-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA SPECIALTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-07",
        "last_updated": "2019-03-08",
        "status": "A",
        "authorized_official_last_name": "MCELFRESH",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR OF IMPLEMENTATION/PHARMACY",
        "authorized_official_telephone_number": "972-795-0262",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "31544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Tran, PHARMD
• Anitra C Tucker
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• Katie M Vick, M.D.
• Linh Vo, DO
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• Carol Randolph Wald, DDS
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• Community/Retail Pharmacy in Red Oak, TX
• Providers in Red Oak, 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 Mar 8, 2019; 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.