NPIMap

Organization Active NPI

Texas Tech Student Health Pharmacy

  • Community/Retail Pharmacy
  • Lubbock, TX
National Provider Identifier
1871636738
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
06057 Issued in TX
Legal business name
TEXAS TECH STUDENT HEALTH PHARMACY
Practice address
1003 Flint Ave.
Lubbock, TX 79409
Phone
(806) 743-2636
Fax
(806) 743-4474
NPI assigned
Feb 14, 2007
Last updated
Feb 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Authorized official

Name
Heather Lynn Johnson, R.PH.NPI 1679846893
Title
Pharmacsit in Charge
Phone
(806) 743-2636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 06057 TX Primary

Addresses

Primary practice location

1003 Flint Ave.
Lubbock, TX 79409

Mailing address

1003 Flint Ave
Lubbock, TX 79409-0001
Phone (806) 743-2636

National Provider Directory

National Provider Directory
Tax ID family
Texas Tech University Health Sciences Center16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1871636738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 FLINT AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794090001",
            "telephone_number": "806-743-2636",
            "fax_number": "806-743-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 FLINT AVE.",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79409",
            "telephone_number": "806-743-2636",
            "fax_number": "806-743-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS TECH STUDENT HEALTH PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHARMACSIT IN CHARGE",
        "authorized_official_telephone_number": "806-743-2636",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "06057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.