Active NPI
Texas Pharmacy Management Group LLC
- Community/Retail Pharmacy
- Lubbock, TX
National Provider Identifier
1447849237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- TEXAS PHARMACY MANAGEMENT GROUP LLC
- Practice address
- 3716 22ND St
Lubbock, TX 79410-1312 - Phone
- (561) 379-7750
- Fax
- (806) 478-1429
- NPI assigned
- Jan 15, 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
- Dr. Lisa Faast, PHARMD
- Title
- Owner Assistant
- Phone
- (561) 379-7750
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
3716 22ND St
Lubbock, TX 79410-1312
Mailing address
3716 22ND St
Lubbock, TX 79410-1312
Phone (561) 379-7750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210512001060 | TX | Part B Supplier - Pharmacy | 0143639757 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lubbock, TX |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Community/Retail Pharmacy
- Lubbock, TX
- NPI 1891214524
O20210512001060
National Provider Directory
National Provider DirectoryLocations
3716 22nd St
Lubbock, TX 79410
Phone (806) 749-6133
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Taft, CA
- NPI 1851383673
-
- Pharmacist
- Ardmore, OK
- NPI 1952905580
-
- Pharmacotherapy Pharmacist
- Jemez Pueblo, NM
- NPI 1659419422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620172800000",
"number": "1447849237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3716 22ND ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101312",
"telephone_number": "561-379-7750",
"fax_number": "806-478-1429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3716 22ND ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101312",
"telephone_number": "561-379-7750",
"fax_number": "806-478-1429"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEXAS PHARMACY MANAGEMENT GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-15",
"last_updated": "2021-05-05",
"certification_date": "2021-05-05",
"status": "A",
"authorized_official_last_name": "FAAST",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "OWNER ASSISTANT",
"authorized_official_telephone_number": "561-379-7750",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.