Organization Active NPI

Guardian Health Systems Tyler

  • Home Infusion Therapy Pharmacy
  • Tyler, TX
National Provider Identifier
1811066889
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
05466 Issued in TX
Legal business name
GUARDIAN HEALTH SYSTEMS TYLER
Practice address
1000 S Fleishel Ave
Tyler, TX 75701-2037
Phone
(405) 848-0338
Fax
(405) 848-0351
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Karen Tobey, R.PH.
Title
Director
Phone
(405) 848-0338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Therapy Pharmacy 3336H0001X 05466 TX Primary

Addresses

Primary practice location

1000 S Fleishel Ave
Tyler, TX 75701-2037

Mailing address

2508 Oaklawn Avenue
Dallas, TX 75219
Phone (405) 848-0338

Other identifiers 1

IdentifierTypeStateIssuer
750464OtherTXBCBS TX

National Provider Directory

National Provider Directory

Locations

1000 S Fleishel Ave
Tyler, TX 75701
Phone (903) 593-0236

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811066889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 OAKLAWN AVENUE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75219",
            "telephone_number": "405-848-0338",
            "fax_number": "405-848-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S FLEISHEL AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012037",
            "telephone_number": "405-848-0338",
            "fax_number": "405-848-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN HEALTH SYSTEMS TYLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOBEY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "405-848-0338",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "TX",
            "license": "05466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "750464",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.