Medical Edge Healthcare Group P a

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

26923 Issued in TX

Legal business name

MEDICAL EDGE HEALTHCARE GROUP P A

Doing business as

Arlington Cancer Center Pharmacy

Practice address

906 W Randol Mill Rd
Arlington, TX 76012-2510

Phone

(817) 543-4685

Fax

(817) 543-4643

NPI assigned

May 28, 2010

Organization subpart

No

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

Authorized official

Name

Clay Heighten

Title

President

Phone

(972) 739-3001

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Arlington Cancer Center Pharmacy Doing business as

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1972822914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 W RANDOL MILL RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122510",
            "telephone_number": "817-543-4685",
            "fax_number": "817-543-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 W RANDOL MILL RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122510",
            "telephone_number": "817-543-4685",
            "fax_number": "817-543-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL EDGE HEALTHCARE GROUP P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-28",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "HEIGHTEN",
        "authorized_official_first_name": "CLAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-739-3001"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5900255",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arlington Cancer Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medexpress Urgent Care Texas, P.a. (MedExpress Urgent Care - Arlington, S Cooper St)
• Medi Weightloss
• Medical Associates Clinics PLLC
• Medical Clinic of North Texas PLLC
• Medical Clinic of North Texas, PLLC (USMD Physician Services)
• Medical Edge Healthcare Group PA (Arlington Cancer Center Pharmacy)
• Medical Edge Healthcare Group PA (Metro Medical Arlington)
• Medical Equipment Specialists
• Medical Services Exchange
• Medical Strategic Partners

• Community/Retail Pharmacy in Arlington, TX
• Providers in Arlington, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.