NPIMap

Organization Active NPI

Brazos Valley Hematology Oncology Associates, PA

Doing business as Cancer Clinic Pharmacy

  • Community/Retail Pharmacy
  • College Station, TX
National Provider Identifier
1952920076
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BRAZOS VALLEY HEMATOLOGY ONCOLOGY ASSOCIATES, PA
Doing business as
Cancer Clinic Pharmacy
Practice address
2435 Harvey Mitchell Pkwy S
Suite 120
College Station, TX 77845
Phone
(979) 977-0193
Fax
(866) 733-2572
NPI assigned
Apr 9, 2020
Last updated
Feb 2, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
KUMUD S TRIPATHY AND ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Authorized official

Name
Crystal Fair, PHARMDNPI 1922631563
Title
Pharmacist in Charge
Phone
(979) 977-0193

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2435 Harvey Mitchell Pkwy S
Suite 120
College Station, TX 77845

Mailing address

2435 Harvey Mitchell Pkwy S
Suite 120
College Station, TX 77845
Phone (979) 977-0193

Other names 1

  • CANCER CLINIC PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210128002339 TX DME Supplier - Pharmacy 6709880271 Practice locations: Bryan, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Kumud S Tripathy and Assoc2 organizations share this tax ID, including this one
Part of
Kumud S Tripathy and Assoc

Other organizations with this tax ID 1

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

Locations

2215 E Villa Maria Rd
Ste 120
Bryan, TX 77802
Phone (979) 731-8558

2435 Harvey Mitchell Pkwy S
College Station, TX 77845
Phone (979) 776-2000

2435 Harvey Mitchell Pkwy S
Ste 120
College Station, TX 77845
Phone (979) 977-0193

Practitioners & affiliated clinicians

Practitioners 11

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": "1586390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1952920076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 HARVEY MITCHELL PKWY S",
            "address_2": "SUITE 120",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "77845",
            "telephone_number": "979-977-0193",
            "fax_number": "866-733-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 HARVEY MITCHELL PKWY S",
            "address_2": "SUITE 120",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "77845",
            "telephone_number": "979-977-0193",
            "fax_number": "866-733-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZOS VALLEY HEMATOLOGY ONCOLOGY ASSOCIATES, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KUMUD S TRIPATHY AND ASSOCIATES",
        "enumeration_date": "2020-04-09",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "FAIR",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "979-977-0193",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CANCER CLINIC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CANCER CLINIC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.