Provider Demographics
NPI:1356064513
Name:ONCOLOGY PHARMACY SERVICES, INC
Entity type:Organization
Organization Name:ONCOLOGY PHARMACY SERVICES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SR. REVENUE CYCLE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:KEVIN
Authorized Official - Last Name:BIVONA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-997-8103
Mailing Address - Street 1:PO BOX 731145
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-1145
Mailing Address - Country:US
Mailing Address - Phone:972-997-8103
Mailing Address - Fax:
Practice Address - Street 1:9750 HILLWOOD PKWY
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76177-1507
Practice Address - Country:US
Practice Address - Phone:817-697-5640
Practice Address - Fax:682-593-8125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-22
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy