Medical Edge Healthcare Group PA

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

25255 Issued in TX

Legal business name

MEDICAL EDGE HEALTHCARE GROUP PA

Doing business as

Healthedge Infusion Therapeutics

Practice address

15800 Dooley Rd
Ste 120
Addison, TX 75001-4284

Phone

(972) 788-0592

Fax

(972) 788-0697

NPI assigned

Oct 17, 2006

Last updated

Jun 1, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Clay Heighten, RPH

Title

President

Phone

(972) 739-3001

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• HEALTHEDGE INFUSION THERAPEUTICS Doing business as

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1124108550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650268",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15800 DOOLEY RD",
            "address_2": "STE 120",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014284",
            "telephone_number": "972-788-0592",
            "fax_number": "972-788-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL EDGE HEALTHCARE GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "HEIGHTEN",
        "authorized_official_first_name": "CLAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-739-3001",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "25255",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4548864",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTHEDGE INFUSION THERAPEUTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandi McKey, DC
• Victoria McMahon, M.S. CCC-SLP
• Latasha McNeal
• Medial Edge Healthcare Group PA (HealthEdge Infusion Therapeutics)
• Medical Access Inc
• Medical Lab Partners LLC
• Medical Supply Direct
• Ashley Nicole Medina
• Medinet Healthcare Agency Inc
• Meditex Supplies Inc

• Community/Retail Pharmacy in Addison, TX
• Providers in Addison, 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 Jun 1, 2010; 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.