NPIMap

Organization Active NPI

University of Texas M D Anderson

  • Clinic Pharmacy
  • Houston, TX
National Provider Identifier
1508965435
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
6026 Issued in TX
Legal business name
UNIVERSITY OF TEXAS M D ANDERSON
Practice address
1515 Holcombe Blvd Unit 90
Houston, TX 77030-4000
Phone
(713) 792-6125
Fax
(713) 794-1616
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Authorized official

Name
Jeff McClusky
Title
Director, Pharmacy Operations
Phone
(832) 729-2197

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 6026 TX Primary
Institutional Pharmacy 3336I0012X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

1515 Holcombe Blvd Unit 90
Houston, TX 77030-4000

Mailing address

PO Box 4727
Houston, TX 77210-4727

Other practice location 1

1155 Pressler St
Houston, TX 77030-3721
Phone (833) 703-6209

Other identifiers 2

IdentifierTypeStateIssuer
2099226OtherPK
112672402MedicaidTX

Other names 1

  • UNIV OF TEXAS MD ANDERSON CANCER CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930086789 TX DME Supplier - Pharmacy 2668410903 Practice locations: Houston, TX

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
MD Anderson Hospital11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

1515 Holcombe Blvd
Unit 90
Houston, TX 77030
Phone (713) 792-2870

1155 Pressler St
Houston, TX 77030
Phone (713) 745-3249

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1508965435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4727",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 HOLCOMBE BLVD UNIT 90",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304000",
            "telephone_number": "713-792-6125",
            "fax_number": "713-794-1616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 Pressler St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770303721",
            "country_code": "US",
            "telephone_number": "833-703-6209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNIVERSITY OF TEXAS M D ANDERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "MCCLUSKY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "DIRECTOR, PHARMACY OPERATIONS",
        "authorized_official_telephone_number": "832-729-2197"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "TX",
            "license": "6026",
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2099226",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112672402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIV OF TEXAS MD ANDERSON CANCER CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UNIV OF TEXAS MD ANDERSON CANCER CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.