NPIMap

Organization Active NPI

Midland Memorial Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Midland, TX
National Provider Identifier
1437324209
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MIDLAND MEMORIAL OUTPATIENT PHARMACY
Practice address
400 Rosalind Redfern Grover Pkwy
Midland, TX 79701-6499
Phone
(432) 571-4070
Fax
(432) 571-4071
NPI assigned
Apr 23, 2008
Last updated
May 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Authorized official

Name
Mr. Stephen Bowerman
Title
Ceo
Phone
(432) 221-4877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701-6499

Mailing address

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701-6499
Phone (432) 571-4070

Other identifiers 1

IdentifierTypeStateIssuer
4534776OtherTXNCPDP

Other names 1

  • MMH OP Rx Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250924000475 TX Part B Supplier - Pharmacy 6901709013 Practice locations: Midland, TX

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Midland Memorial Hospit9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1101 Garden Ln
Midland, TX 79701
Phone (432) 570-0238

200 Andrews Hwy
Ste 102
Midland, TX 79701
Phone (432) 221-4070

3001 W Illinois Ave
Ste 5A
Midland, TX 79701
Phone (915) 697-1067

3303 W Illinois Ave
Midland, TX 79703
Phone (432) 681-7613

2443 W 16th St
Odessa, TX 79763
Phone (432) 333-2904

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Encompass Health Rehabilitation Hospital of Midland OdessaMidland, TX, CCN 453057 Hospital 5% Or Greater Indirect Ownership Interest (18%) Jul 1, 2021
Midland Memorial HospitalMidland, TX, CCN 450133 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2015
Avir at MonahansMonahans, TX, CCN 675522 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Focused Care at OdessaOdessa, TX, CCN 675751 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Direct Ownership Interest (100%)		 Apr 1, 2017
Nov 1, 2017
Apr 1, 2017
Focused Care at Hogan ParkMidland, TX, CCN 675910 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 1, 2017
Apr 1, 2017
Focused Care at MidlandMidland, TX, CCN 675985 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 1, 2017
Apr 1, 2017
Focused Care at Fort StocktonFort Stockton, TX, CCN 675722 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Direct Ownership Interest (100%)		 Apr 1, 2017
Apr 1, 2017
Apr 1, 2017
Ashton Medical LodgeMidland, TX, CCN 676430 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2023
Madison Medical ResortOdessa, TX, CCN 676348 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2024

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1437324209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ROSALIND REDFERN GROVER PKWY",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016499",
            "telephone_number": "432-571-4070",
            "fax_number": "432-571-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ROSALIND REDFERN GROVER PKWY",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016499",
            "telephone_number": "432-571-4070",
            "fax_number": "432-571-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND MEMORIAL OUTPATIENT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "BOWERMAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "432-221-4877",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4534776",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MMH OP Rx",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.