Provider Demographics
NPI:1518005123
Name:MIEARS PHARMACY AND HOME HEALTH CARE
Entity Type:Organization
Organization Name:MIEARS PHARMACY AND HOME HEALTH CARE
Other - Org Name:MIEARS PHARMACY, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:MIEARS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:903-785-1679
Mailing Address - Street 1:707 LAMAR AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-4492
Mailing Address - Country:US
Mailing Address - Phone:903-785-1679
Mailing Address - Fax:903-785-5646
Practice Address - Street 1:707 LAMAR AVE
Practice Address - Street 2:SUITE A
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-4492
Practice Address - Country:US
Practice Address - Phone:903-785-1679
Practice Address - Fax:903-785-5646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18940332B00000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4528230OtherNABP NUMBER
TX501522OtherBC BS HOME HEALTH ID NUMB
TX0330516Medicaid
TX0330516Medicaid