Specialized Pharmacy Services, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SPECIALIZED PHARMACY SERVICES, INC.

Doing business as

Specialty Shoes & Diabetic Supplies

Practice address

7645 Phelan Blvd
Beaumont, TX 77706-5753

Phone

(409) 832-8750

Fax

(409) 866-7996

NPI assigned

May 24, 2006

Last updated

Jan 20, 2009By 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

Donna C Flanakin

Title

Administrator

Phone

(409) 832-8750

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Specialty Shoes & Diabetic Supplies Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah Leeanne Jones Bowerman

  • Pedorthist
  • Beaumont, TX
  • NPI 1407784804
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1184679177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7380",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777267380",
            "telephone_number": "409-832-8750",
            "fax_number": "409-866-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7645 PHELAN BLVD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777065753",
            "telephone_number": "409-832-8750",
            "fax_number": "409-866-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED PHARMACY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "FLANAKIN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "409-832-8750"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087291301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "515247",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016053301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specialty Shoes & Diabetic Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Katelynn Sparkman
• Kelly Sparkman, PMHNP
• Cheryl Spell, FNP
• Michael K Spell, APRN-BC
• Gynises Nicole Spencer, LPC
• Shewana Spencer, NP
• Howard E. Sperling, M.D.

• Durable Medical Equipment & Medical Supplies in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.