Provider Demographics
NPI:1427018902
Name:Y MEDICAL ASSOCIATES INC
Entity Type:Organization
Organization Name:Y MEDICAL ASSOCIATES INC
Other - Org Name:Y MEDICAL ASSOCIATES INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, TREASURER, SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:CAPPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-494-3121
Mailing Address - Street 1:8840 N MACARTHUR BLVD
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-7593
Mailing Address - Country:US
Mailing Address - Phone:972-714-0777
Mailing Address - Fax:972-714-0888
Practice Address - Street 1:8840 N MACARTHUR BLVD
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-7593
Practice Address - Country:US
Practice Address - Phone:972-714-0777
Practice Address - Fax:972-714-0888
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:Y MEDICAL HOLDINGS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-03-27
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX001390251E00000X
TX13889251F00000X, 3336H0001X
333600000X, 3336C0003X, 3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
No251E00000XAgenciesHome Health
No333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX094656802Medicaid
TX094656801Medicaid
4588034OtherNCPDP PROVIDER IDENTIFICATION NUMBER
4588034OtherNCPDP PROVIDER IDENTIFICATION NUMBER