Organization Active NPI

Guardian Health Systems Goldthwaite

  • Home Infusion Therapy Pharmacy
  • Goldthwaite, TX
National Provider Identifier
1265501241
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
04397 Issued in TX
Legal business name
GUARDIAN HEALTH SYSTEMS GOLDTHWAITE
Practice address
1503 West Front Street
Goldthwaite, TX 76844
Phone
(405) 848-0338
Fax
(405) 848-0351
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Therapy Pharmacy 3336H0001X 04397 TX Primary

Addresses

Primary practice location

1503 West Front Street
Goldthwaite, TX 76844

Mailing address

2508 Oaklawn Avenue
Dallas, TX 75219
Phone (405) 848-0338

Other identifiers 1

IdentifierTypeStateIssuer
750456OtherTXBCBS TX

National Provider Directory

National Provider Directory

NPI Registry JSON

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": "1265501241",
    "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": "1503 WEST FRONT STREET",
            "city": "GOLDTHWAITE",
            "state": "TX",
            "postal_code": "76844",
            "telephone_number": "405-848-0338",
            "fax_number": "405-848-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN HEALTH SYSTEMS GOLDTHWAITE",
        "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": "04397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "750456",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldthwaite, TX

Sources for this page

  • 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.