Guardian Health Systems Pecos

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

12062 Issued in TX

Legal business name

GUARDIAN HEALTH SYSTEMS PECOS

Practice address

724 S Eddy St
Pecos, TX 79772-3727

Phone

(405) 848-0338

Fax

(405) 848-0351

NPI assigned

Nov 6, 2006

Last updated

Aug 22, 2020By 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

Karen Tobey, R.PH.

Title

Director

Phone

(405) 848-0338

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255400230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 OAKLAWN AVENUE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75219",
            "telephone_number": "405-848-0338",
            "fax_number": "405-848-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 S EDDY ST",
            "city": "PECOS",
            "state": "TX",
            "postal_code": "797723727",
            "telephone_number": "405-848-0338",
            "fax_number": "405-848-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN HEALTH SYSTEMS PECOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOBEY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "405-848-0338",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "TX",
            "license": "12062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane A Evering-Simms, M.D.
• Jerry F Giardina, CRNA
• Roberto Gomez Jr., RN
• Tamara M Goodliffe, PT
• Guadalupe County Hospital Board (Avir at PECOS)
• Jacob Ethan Guertin
• H K a Corporation (American Medical Equipment)
• H K a Corporation (American Medical Equipment)
• H K a Corporation (American Home Health & Hospice)
• H K a Corporation (Professional Pharmacy)

• Home Infusion Therapy Pharmacy in Pecos, TX
• Providers in Pecos, TX by specialty
• Home Infusion Therapy Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.