Powers, Dobbs, & Menzina, Inc.

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

15930 Issued in TX

Legal business name

POWERS, DOBBS, & MENZINA, INC.

Doing business as

AristaCare Health Inc.

Practice address

913 W Loop 281
Ste #105
Longview, TX 75604-2901

Phone

(903) 295-3338

Fax

(903) 295-0004

NPI assigned

Jul 18, 2006

Organization subpart

No

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

Authorized official

Name

Jayne Justice

Title

Senior Vice President

Phone

(847) 490-3995

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• AristaCare Health Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1760400642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 W LOOP 281",
            "address_2": "STE #105",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042901",
            "telephone_number": "903-295-3338",
            "fax_number": "903-295-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 W LOOP 281",
            "address_2": "STE #105",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042901",
            "telephone_number": "903-295-3338",
            "fax_number": "903-295-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWERS, DOBBS, & MENZINA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "JUSTICE",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "847-490-3995"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "TX",
            "license": "15930",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "TX",
            "license": "15930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014554201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "750415",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AristaCare Health Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Paige Potter, PHARMD
• Lance Monroe Potter, D.C.
• Katherine Elizabeth Pouns, MD
• Elizabeth Ann Powell, NP
• Mallory Powell, COTA
• Pradus Clinical DX LLC
• Pradus Diagnostic Solutions LLC
• Anne Elizabeth Pratt, PA-C
• Precious Hand'S
• Precision Assistiants PLLC

• Home Infusion Therapy Pharmacy in Longview, TX
• Providers in Longview, TX by specialty
• Home Infusion Therapy Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.