PATRICK J HEALY NPI 1033344924

NPI Information

NPI: 1033344924
Provider Name: PATRICK J HEALY
Classification: Pharmacy - 333600000X
Entity Type: Individual
Address:
1000 S FLEISHEL AVE
TYLER, TX
ZIP 75701
Phone: (903) 593-0236
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Patrick J Healy is a pharmacy in Tyler, TX. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. Patrick J Healy NPI is 1033344924. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1000 S FLEISHEL AVE
TYLER, TX
ZIP 75701-037
Phone: (903) 593-0236
Fax: (903) 593-9375

The enumeration date for this NPI number is 5/20/2009 and was last updated on 2/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		25664	TEXAS	No
2	333600000X	Pharmacy				Yes
3	3336C0003X	Pharmacy	Community/Retail Pharmacy			No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	145987	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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