Provider Demographics
NPI:1467090548
Name:NPS CARE LLC
Entity type:Organization
Organization Name:NPS CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:PORTER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:254-294-1400
Mailing Address - Street 1:8801 WOODWAY DR STE D
Mailing Address - Street 2:
Mailing Address - City:WOODWAY
Mailing Address - State:TX
Mailing Address - Zip Code:76712-3646
Mailing Address - Country:US
Mailing Address - Phone:254-294-1400
Mailing Address - Fax:254-294-1903
Practice Address - Street 1:8801 WOODWAY DR STE D
Practice Address - Street 2:
Practice Address - City:WOODWAY
Practice Address - State:TX
Practice Address - Zip Code:76712-3646
Practice Address - Country:US
Practice Address - Phone:254-294-1400
Practice Address - Fax:254-294-1903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-19
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336C0002XSuppliersPharmacyClinic Pharmacy