Active NPI
Eisai Patient Support Pharmacy
- Pharmacy
- Lewisville, TX
National Provider Identifier
1861259194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- EISAI PATIENT SUPPORT PHARMACY
- Practice address
- 2730 Edmonds LN Ste 400-a
Lewisville, TX 75067-6731 - Phone
- (866) 613-4724
- Fax
- (855) 246-5192
- NPI assigned
- Mar 4, 2024
- Last updated
- Mar 21, 2024
- Organization subpart
- Yes
- Parent organization
- SONEXUS HEALTH PHARMACY SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonathan Neal Kwiatkowski
- Title
- Director Pharmacy Services
- Phone
- (214) 502-7015
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
2730 Edmonds LN Ste 400-a
Lewisville, TX 75067-6731
Mailing address
2730 Edmonds LN Ste 400-a
Lewisville, TX 75067-6731
Phone (866) 613-4724
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35268 | Other | TX | BOARD OF PHARMACY LICENSE NUMBER |
Other names 1
- Cardinal Health
National Provider Directory
National Provider Directory- Tax ID family
- Takeda Oncology Here2Assist
- Part of
- Takeda Oncology Here2Assist
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
Locations
2730 Edmonds Ln
Ste 400A
Lewisville, TX 75067
Phone (866) 613-4724
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Community/Retail Pharmacy
- Lewisville, TX
- NPI 1447680210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710979200000",
"number": "1861259194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 EDMONDS LN STE 400-A",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750676731",
"telephone_number": "866-613-4724",
"fax_number": "855-246-5192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2730 EDMONDS LN STE 400-A",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750676731",
"telephone_number": "866-613-4724",
"fax_number": "855-246-5192"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EISAI PATIENT SUPPORT PHARMACY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SONEXUS HEALTH PHARMACY SERVICES",
"enumeration_date": "2024-03-04",
"last_updated": "2024-03-21",
"certification_date": "2024-03-04",
"status": "A",
"authorized_official_last_name": "KWIATKOWSKI",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "NEAL",
"authorized_official_title_or_position": "DIRECTOR PHARMACY SERVICES",
"authorized_official_telephone_number": "214-502-7015"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY LICENSE NUMBER",
"identifier": "35268",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cardinal Health",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Cardinal Health",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.