Organization Active NPI

Specialty Infusions TX Inc

Doing business as Prime Infusions

  • Pharmacy
  • Stafford, TX
National Provider Identifier
1457237315
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
SPECIALTY INFUSIONS TX INC
Doing business as
Prime Infusions
Practice address
4807 Sugar Grove Blvd Ste 702
Stafford, TX 77477-2652
Phone
(346) 350-2000
Fax
(346) 350-6100
NPI assigned
Aug 14, 2025
Last updated
Aug 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Authorized official

Name
Naomi Abrahamson, PHARMDNPI 1417350661
Title
Pharmacist in Charge
Phone
(346) 350-2000

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X Primary

Addresses

Primary practice location

4807 Sugar Grove Blvd Ste 702
Stafford, TX 77477-2652

Mailing address

4807 Sugar Grove Blvd Ste 702
Stafford, TX 77477-2652
Phone (346) 350-2000

Other identifiers 1

IdentifierTypeStateIssuer
35819OtherTXTX STATE BOARD OF PHARMACY LICENSE

Other names 1

  • PRIME INFUSIONS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250916000087 TX Part B Supplier - Pharmacy 6709380637 Practice locations: Stafford, TX

National Provider Directory

National Provider Directory

Locations

4807 Sugar Grove Blvd
Ste 702
Stafford, TX 77477
Phone (346) 350-2000

Practitioners & affiliated clinicians

Practitioners 1

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": "1755129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1457237315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 SUGAR GROVE BLVD STE 702",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774772652",
            "telephone_number": "346-350-2000",
            "fax_number": "346-350-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 SUGAR GROVE BLVD STE 702",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774772652",
            "telephone_number": "346-350-2000",
            "fax_number": "346-350-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY INFUSIONS TX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "ABRAHAMSON",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "346-350-2000",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX STATE BOARD OF PHARMACY LICENSE",
            "identifier": "35819",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIME INFUSIONS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.

Verify at the official NPI Registry.