Organization Active NPI

Oncology Pharmacy Services , Inc.

  • Specialty Pharmacy
  • El Paso, TX
National Provider Identifier
1720024201
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
ONCOLOGY PHARMACY SERVICES , INC.
Practice address
1901 Grandview Ave
El Paso, TX 79902-5113
Phone
(915) 747-4840
Fax
(915) 532-7116
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
Todd Kevin Bivona
Title
Sr. Revenue Cycle Manager
Phone
(214) 794-5388

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 16612 TX
Community/Retail Pharmacy 3336C0003X
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

1901 Grandview Ave
El Paso, TX 79902-5113

Mailing address

PO Box 731145
Dallas, TX 75373-1145
Phone (972) 997-8103

Other identifiers 5

IdentifierTypeStateIssuer
350176OtherTXTX VENDOR DRUG
35750OtherTXTEXAS BOARD OF PHARMACY
16612OtherTXCLASS A LIC
4595003OtherTXNCPDP
152460501MedicaidTX

Other names 1

  • Texas Oncology Pharmacy - El Paso Grandview Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930100373 TX DME Supplier - Pharmacy 6002937190 Practice locations: El Paso, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0509455Texas Oncology El Paso West1901 Grandview Avenue, El Paso, TX 79902AccreditationAug 11, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Texas Oncology Pharmacy - El Paso G1901 Grandview Ave, El Paso, TX 79902-5113(915) 747-4840 Epoetin|Immunosuppressive Drugs|Oral Anticancer Drugs Does not accept assignmentParticipating since May 26, 2000

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1901 Grandview Ave
El Paso, TX 79902
Phone (915) 544-6750

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1720024201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 731145",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753731145",
            "telephone_number": "972-997-8103",
            "fax_number": "469-467-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 GRANDVIEW AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025113",
            "telephone_number": "915-747-4840",
            "fax_number": "915-532-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONCOLOGY PHARMACY SERVICES , INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "BIVONA",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "SR. REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "214-794-5388"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "16612",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX VENDOR DRUG",
            "identifier": "350176",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF PHARMACY",
            "identifier": "35750",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLASS A LIC",
            "identifier": "16612",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4595003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152460501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Oncology Pharmacy - El Paso Grandview",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.