Provider Demographics
NPI:1255502704
Name:PHARMACY OPERATIONS INC
Entity Type:Organization
Organization Name:PHARMACY OPERATIONS INC
Other - Org Name:MEDICINE SHOPPE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM MANAGEMENT COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:AMIEE
Authorized Official - Middle Name:
Authorized Official - Last Name:KEEVEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-993-6000
Mailing Address - Street 1:1563 SOLUTIONS CTR
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-1005
Mailing Address - Country:US
Mailing Address - Phone:314-993-6000
Mailing Address - Fax:314-872-5558
Practice Address - Street 1:13250 HIGHWAY 6
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:TX
Practice Address - Zip Code:77510-7682
Practice Address - Country:US
Practice Address - Phone:409-925-3522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332B00000X
TX259913336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX196688902Medicaid
TX145905Medicaid
TX196688901Medicaid
TX4547848OtherNCPDP
TX4547848OtherNCPDP
TX196688902Medicaid
TX4547848OtherNCPDP