Active NPI
Mydnarx
- In Home Supportive Care Agency
- Tyler, TX
National Provider Identifier
1295302941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- MYDNARX
- Doing business as
- Amy's Hometown Home Care
- Practice address
- 121 S Broadway Ave Ste 426
Tyler, TX 75702-7331 - Phone
- (903) 201-6720
- NPI assigned
- Jun 9, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Metcalf, PHARM.D., R.PH.
- Title
- Administrator
- Phone
- (469) 644-6704
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
121 S Broadway Ave Ste 426
Tyler, TX 75702-7331
Mailing address
PO Box 1626
Lindale, TX 75771-1626
Other names 1
- Amy's Hometown Home Care
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Amy.metcalf@amyshometownhomecare.com |
National Provider Directory
National Provider DirectoryLocations
121 S Broadway Ave
Ste 426
Tyler, TX 75702
Phone (903) 201-6720
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Corinth, TX
- NPI 1538496823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657065600000",
"number": "1295302941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1626",
"city": "LINDALE",
"state": "TX",
"postal_code": "757711626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 S BROADWAY AVE STE 426",
"city": "TYLER",
"state": "TX",
"postal_code": "757027331",
"telephone_number": "903-201-6720"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYDNARX",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-09",
"last_updated": "2022-07-06",
"certification_date": "2022-07-06",
"status": "A",
"authorized_official_last_name": "METCALF",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "469-644-6704",
"authorized_official_credential": "PHARM.D., R.PH."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Amy.metcalf@amyshometownhomecare.com",
"affiliation": "N",
"address_1": "121 S Broadway Ave Ste 426",
"city": "Tyler",
"state": "TX",
"country_code": "US",
"postal_code": "757027331",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Amy's Hometown Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.