Alchemy Wellness Solutions LLC
Organization Active NPI Pharmacy · Lubbock, TX
NPI 1437855434 · NPPES record last updated Sep 21, 2023
Key facts
- NPI
- 1437855434
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- Legal business name
- ALCHEMY WELLNESS SOLUTIONS LLC
- Practice address
- 10501 Quaker Ave Ste 300
Lubbock, TX 79424-8312 - Phone
- (806) 370-7311
- NPI assigned
- Feb 1, 2023
- Organization subpart
- No
Authorized official
- Name
- Dr. Kristine Isaacson, PHARM.D./RPH
- Title
- Owner
- Phone
- (806) 373-7311
Practitioners 2
-
Kristine Miller Isaacson, PHARMD, CGP
-
Lauren Isaacson, PHARMD, RPH
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2288274 | Kitch Pharmacy | Certificate of waiver | Aug 22, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231021000177 | TX | Part B Supplier - Independent Clinical Laboratory | 9234503814 | Practice locations: Lubbock, TX |
| O20231021000196 | TX | Part B Supplier - Pharmacy | 9234503814 | Practice locations: Lubbock, TX |
National Provider Directory
Locations
10501 Quaker Ave
Ste 300
Lubbock, TX 79424
Phone (806) 370-7311
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Yes | ||
| Clinic Pharmacy | 3336C0002X | |||
| Community/Retail Pharmacy | 3336C0003X | |||
| Compounding Pharmacy | 3336C0004X | |||
| Specialty Pharmacy | 3336S0011X | |||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
10501 Quaker Ave Ste 300
Lubbock, TX 79424-8312
Mailing address
10501 Quaker Ave Ste 300
Lubbock, TX 79424-8312
Phone (806) 370-7311
Other names
- Kitch Pharmacy
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.