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MEDICAL MART & DME NPI 1912367335


NPI Information

NPI: 1912367335
Provider Name: MEDICAL MART & DME

Doing Business As: HEALTH PLUS PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 45D2206609

Address:
1315 W MAIN AVE STE 12
ALTON, TX
ZIP 78573
Phone: (956) 424-3535
Get Directions

MEDICAL MART & DME is a community/retail pharmacy pharmacy in Alton, TX. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. MEDICAL MART & DME NPI is 1912367335. The provider is registered as an organization entity type.
The provider Is Doing Business As Health Plus Pharmacy.

The provider's business location address is:

1315 W MAIN AVE STE 12
ALTON, TX
ZIP 78573-643
Phone: (956) 424-3535
Fax: (956) 424-3599

The provider's authorized official is William Fatanthony .
The authorized official title is Pic and has the following contact phone number (956) 424-3535.

The CLIA number assigned to this NPI record is 45D2206609 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/26/2016 and was last updated on 4/15/2016.


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
1332BD1200XDurable Medical Equipment & Medical SuppliesDialysis Equipment & SuppliesNo
2332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionNo
3332BN1400XDurable Medical Equipment & Medical SuppliesNursing Facility SuppliesNo
4332B00000XDurable Medical Equipment & Medical SuppliesNo
5333600000XPharmacyNo
63336C0004XPharmacyCompounding PharmacyNo
73336H0001XPharmacyHome Infusion Therapy PharmacyNo
83336L0003XPharmacyLong Term Care PharmacyNo
93336C0003XPharmacyCommunity/Retail Pharmacy30680TEXASYes

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
12158331OTHERPK
27457950001MEDICARE NSC
3146638MEDICAIDTEXAS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.