Pharmacy Providers In Irving, Texas

Search Pharmacy NPI records in Irving, TX

Search or browse through the NPI records of pharmacy registered healthcare providers with a business address in Irving, TX. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 88, of which 85 are registered as organizations and 3 as individuals. A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

3% Individuals

97% Organizations

3% Female

0% Male

3% Individual Providers (3)97% Medical Organizations (85)3% Female Providers (3)0% Male Providers (0)

Map of Providers

We have mapped the Pharmacy providers in Irving, TX to visually represent the practice location of each individual or organization. Click on any of the the pins to see the provider details at that location.

List of Providers

Table of Pharmacy NPI Profiles in Irving, TX
NPI	Name	Address	Insurance	Medicare	PECOS
1003821034	WALGREEN CO WALGREENS #03921 (Organization)	10001 N MACARTHUR BLVD IRVING, TX 75063 (972) 501-9202	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Meridian Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of Illinois Ambetter of North Carolina Ambetter of Oklahoma Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Avera Health Plans AvMed Baylor Scott and White Health Plan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas City Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming Chorus Community Health Plans Cigna Healthcare Common Ground Healthcare Cooperative Dean Health Plan Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Health Advantage HealthPartners Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Humana Medica MedMutual Moda Health Plan Inc. Octave Primewell Health Services of Mississippi Priority Health Sendero Health Plans Local Nonprofit SummaCare UnitedHealthcare University of Michigan Health Plan WellCare of North Carolina	Non-Participating Provider	NO
1023199981	CVS PHARMACY, INC. CVS PHARMACY #00015 (Organization)	5500 N MACARTHUR IRVING, TX 75038 (972) 518-1325	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Meridian Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of North Carolina Ambetter of Oklahoma Arkansas Blue Cross and Blue Shield Avera Health Plans AvMed BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross Blue Shield of North Dakota BlueCross BlueShield of Tennessee Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Dean Health Plan Health Advantage HealthPartners Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Humana Medica Moda Health Plan Inc. Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Primewell Health Services of Mississippi Priority Health Sanford Health Plan Sendero Health Plans Local Nonprofit SummaCare University of Michigan Health Plan WellCare of North Carolina	Non-Participating Provider	NO
1023442480	BAYLOR SCOTT & WHITE HEALTH ENTERPRISES, INC. (Organization)	1901 N MACARTHUR BLVD SUITE 1001 IRVING, TX 75061 (972) 579-4074	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Avera Health Plans AvMed BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas City Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming BlueCross BlueShield of Tennessee Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Common Ground Healthcare Cooperative Dean Health Plan Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Health Advantage HealthPartners Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Humana Medica MedMutual Moda Health Plan Inc. Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Primewell Health Services of Mississippi Priority Health Sanford Health Plan Sendero Health Plans Local Nonprofit SummaCare UnitedHealthcare University of Michigan Health Plan	Non-Participating Provider	NO
1043623226	IRVING PHARMACY LLC IRVING PHARMACY (Organization)	2000 ESTERS RD STE 202 IRVING, TX 75061 (972) 313-0585	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Meridian Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of Illinois Ambetter of North Carolina Ambetter of Oklahoma Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Avera Health Plans BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas City Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming BlueCross BlueShield of Tennessee Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Common Ground Healthcare Cooperative Dean Health Plan Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Health Advantage HealthPartners Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Humana Medica MedMutual Moda Health Plan Inc. Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Primewell Health Services of Mississippi Priority Health Sanford Health Plan Sendero Health Plans Local Nonprofit SummaCare UnitedHealthcare University of Michigan Health Plan WellCare of North Carolina	Non-Participating Provider	NO
1063156396	V PHARMACY INC (Organization)	1404 W WALNUT HILL LN STE 100 IRVING, TX 75038 (972) 445-9070	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Meridian Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of Illinois Ambetter of North Carolina Ambetter of Oklahoma Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Avera Health Plans AvMed BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming BlueCross BlueShield of Tennessee Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Dean Health Plan Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Health Advantage HealthPartners Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Humana Medica Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Primewell Health Services of Mississippi Priority Health Sendero Health Plans Local Nonprofit SummaCare University of Michigan Health Plan WellCare of North Carolina	Non-Participating Provider	NO
1073569034	ACCREDO HEALTH GROUP INC ACCREDO HEALTH GROUP INC (Organization)	4343 W ROYAL LN STE 124 IRVING, TX 75063 (972) 929-6800	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Meridian Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of Illinois Ambetter of North Carolina Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Avera Health Plans AvMed BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas Inc. Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming BlueCross BlueShield of Tennessee CareSource Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Cigna HealthCare of Arizona Inc Common Ground Healthcare Cooperative Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Health Advantage HealthPartners Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Medica MedMutual Moda Health Plan Inc. Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Priority Health Sanford Health Plan SummaCare University of Michigan Health Plan WellCare of North Carolina	Non-Participating Provider	NO
1073712329	HEALTHCARE ASSOCIATES OF IRVING BOARDWALK PHARMACY (Organization)	6161 N STATE HIGHWAY 161 IRVING, TX 75038 (972) 812-7559	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana HMO Louisiana Medica Moda Health Plan Inc. Primewell Health Services of Mississippi	Non-Participating Provider	NO
1073859997	SHIVA SHAKTHI LLC SS PHARMACY (Organization)	2625 TEXAS DR IRVING, TX 75062 (817) 632-7779		Non-Participating Provider	NO
1083329395	FAST ACCESS SPECIALTY THERAPEUTICS, LLC (Organization)	8101 RIDGEPOINT DR STE 100 IRVING, TX 75063 (877) 828-3940		Non-Participating Provider	NO
1083636732	CVS PHARMACY INC CVS PHARMACY #16419 (Organization)	7845 N MACARTHUR BLVD IRVING, TX 75063 (972) 869-0474	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Meridian Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of North Carolina Ambetter of Oklahoma Arkansas Blue Cross and Blue Shield Avera Health Plans AvMed BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross Blue Shield of North Dakota BlueCross BlueShield of Tennessee Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Dean Health Plan Health Advantage HealthPartners Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Humana Medica Moda Health Plan Inc. Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Primewell Health Services of Mississippi Priority Health Sanford Health Plan Sendero Health Plans Local Nonprofit SummaCare University of Michigan Health Plan WellCare of North Carolina	Non-Participating Provider	NO
1083996375	DOCTORS SPECIALTY PHARMACY LLC DOCTORS SPECIALTY PHARMACY (Organization)	8600 FREEPORT PKWY STE 110 IRVING, TX 75063 (469) 906-2002		Non-Participating Provider	NO
1093296774	ONCOLOGY HEMATOLOGY CONSULTANTS, PA THE CENTER PHARMACY #2 (Organization)	7415 LAS COLINAS BLVD STE 100 IRVING, TX 75063 (214) 379-2780	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Meridian Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of Illinois Ambetter of North Carolina Ambetter of Oklahoma Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Avera Health Plans AvMed BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Kansas City Blue Cross and Blue Shield of Louisiana BlueCross BlueShield of Tennessee Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Common Ground Healthcare Cooperative Dean Health Plan Health Advantage Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Humana Medica Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Primewell Health Services of Mississippi Priority Health Sanford Health Plan Sendero Health Plans Local Nonprofit UnitedHealthcare University of Michigan Health Plan WellCare of North Carolina	Non-Participating Provider	NO
1093888521	KROGER TEXAS L P KROGER PHARMACY (Organization)	3612 N BELT LINE RD IRVING, TX 75062 (972) 252-6450	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Meridian Ambetter from Nebraska Total Care Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter of Alabama Ambetter of Illinois Ambetter of North Carolina Ambetter of Oklahoma Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Avera Health Plans BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas City Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming BlueCross BlueShield of Tennessee Common Ground Healthcare Cooperative Dean Health Plan Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Health Advantage HealthPartners Humana Medica Moda Health Plan Inc. Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Sanford Health Plan Sendero Health Plans Local Nonprofit SummaCare UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1104254259	FAMILIA CARE, INC MI DOCTOR #12 (Organization)	506 S NURSERY RD SUITE 101 IRVING, TX 75060 (972) 573-3288		Non-Participating Provider	NO
1114722840	TELYRX DALLAS, LLC (Organization)	8113 RIDGEPOINT DR STE 214 IRVING, TX 75063 (800) 878-1660		Non-Participating Provider	NO
1144520412	GIBSON PHARMACY (Organization)	815 N. OCONNOR IRVING, TX 75061 (972) 579-0511	Aetna CVS Health Ambetter Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Avera Health Plans AvMed BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas City Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming BlueCross BlueShield of Tennessee Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Common Ground Healthcare Cooperative Dean Health Plan Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Health Advantage HealthPartners Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Humana Medica Moda Health Plan Inc. Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Primewell Health Services of Mississippi Priority Health Sanford Health Plan Sendero Health Plans Local Nonprofit SummaCare UnitedHealthcare University of Michigan Health Plan	Non-Participating Provider	NO
1174924930	UNLIMITED HOME HEALTH CENTER INC AMERICAN MEDICAL DIRECT (Organization)	8300 ESTERS BLVD SUITE 940 IRVING, TX 75063 (972) 200-9460		Non-Participating Provider	NO
1184721680	CVS PHARMACY INC CVS PHARMACY #07741 (Organization)	1333 S STORY RD IRVING, TX 75060 (972) 986-8588	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Meridian Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of North Carolina Ambetter of Oklahoma Arkansas Blue Cross and Blue Shield Avera Health Plans AvMed BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross Blue Shield of North Dakota BlueCross BlueShield of Tennessee Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Dean Health Plan Health Advantage HealthPartners Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Humana Medica Moda Health Plan Inc. Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Primewell Health Services of Mississippi Priority Health Sanford Health Plan Sendero Health Plans Local Nonprofit SummaCare University of Michigan Health Plan WellCare of North Carolina	Non-Participating Provider	NO
1205841269	WALGREEN CO WALGREENS #04746 (Organization)	3400 N BELT LINE RD IRVING, TX 75062 (972) 594-1648	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Meridian Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of Illinois Ambetter of North Carolina Ambetter of Oklahoma Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Avera Health Plans AvMed Baylor Scott and White Health Plan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas City Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming Chorus Community Health Plans Cigna Healthcare Common Ground Healthcare Cooperative Dean Health Plan Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Health Advantage HealthPartners Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Humana Medica MedMutual Moda Health Plan Inc. Octave Primewell Health Services of Mississippi Priority Health Sendero Health Plans Local Nonprofit SummaCare UnitedHealthcare University of Michigan Health Plan WellCare of North Carolina	Non-Participating Provider	NO
1205930021	CVS PHARMACY INC CVS PHARMACY #05260 (Organization)	3401 W WALNUT HILL LN IRVING, TX 75038 (972) 443-0683	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Meridian Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of North Carolina Ambetter of Oklahoma Arkansas Blue Cross and Blue Shield Avera Health Plans AvMed BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross Blue Shield of North Dakota BlueCross BlueShield of Tennessee Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Dean Health Plan Health Advantage HealthPartners Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Humana Medica Moda Health Plan Inc. Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Primewell Health Services of Mississippi Priority Health Sanford Health Plan Sendero Health Plans Local Nonprofit SummaCare University of Michigan Health Plan WellCare of North Carolina	Non-Participating Provider	NO
1215403811	WALGREEN CO WALGREENS #21225 (Organization)	8700 FREEPORT PKWY STE 100A IRVING, TX 75063 (469) 957-3937	Blue Cross and Blue Shield of Louisiana HMO Louisiana Medica Moda Health Plan Inc. Primewell Health Services of Mississippi	Non-Participating Provider	NO
1215682554	REMINGTON PHARMACY INC. TOTAL PHARMACY IRVING (Organization)	3626 N MACARTHUR BLVD STE 230 IRVING, TX 75062 (972) 457-0194	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Meridian Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of Illinois Ambetter of North Carolina Ambetter of Oklahoma Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Avera Health Plans AvMed BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Louisiana BlueCross BlueShield of Tennessee Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Dean Health Plan Health Advantage Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Humana Medica Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Priority Health Sendero Health Plans Local Nonprofit University of Michigan Health Plan WellCare of North Carolina	Non-Participating Provider	NO
1225239940	ACCREDO HEALTH GROUP INC ACCREDO HEALTH GROUP INC (Organization)	4343 W ROYAL LN STE 124 IRVING, TX 75063 (972) 929-6800	Avera Health Plans Baylor Scott and White Health Plan Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming Common Ground Healthcare Cooperative Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Sanford Health Plan SummaCare	Non-Participating Provider	NO
1225553290	MESQUITE CARE PHARMACY INC. CARE X PHARMACY (Organization)	1111 S IRVING HEIGHTS DR SUITE # 120 IRVING, TX 75060 (972) 285-1444	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Meridian Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of Illinois Ambetter of North Carolina Ambetter of Oklahoma Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Avera Health Plans AvMed BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas City Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming BlueCross BlueShield of Tennessee Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Common Ground Healthcare Cooperative Dean Health Plan Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Health Advantage HealthPartners Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Humana Medica Moda Health Plan Inc. Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Primewell Health Services of Mississippi Priority Health Sanford Health Plan Sendero Health Plans Local Nonprofit SummaCare UnitedHealthcare University of Michigan Health Plan WellCare of North Carolina	Non-Participating Provider	NO
1255077293	ANDREA POLK (Individual)	2001 W JOHN CARPENTER FWY IRVING, TX 75063 (800) 379-0092		Non-Participating Provider	NO
1285678490	CENTRAL LINE INFUSION DALLAS DIVISION LTD (Organization)	8080 TRISTAR DRIVE SUITE 120 IRVING, TX 75063 (972) 815-0460	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Meridian Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of Illinois Ambetter of North Carolina Ambetter of Oklahoma Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Avera Health Plans AvMed BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas City Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming BlueCross BlueShield of Tennessee Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Cigna HealthCare of Arizona Inc Common Ground Healthcare Cooperative Dean Health Plan Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Health Advantage HealthPartners Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Imperial Insurance Companies Inc. Medica MedMutual Moda Health Plan Inc. Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Primewell Health Services of Mississippi Priority Health Sanford Health Plan Sendero Health Plans Local Nonprofit SummaCare UnitedHealthcare University of Michigan Health Plan WellCare of North Carolina	Non-Participating Provider	NO
1295808814	KROGER TEXAS L P KROGER PHARMACY (Organization)	515 S MACARTHUR BLVD IRVING, TX 75060 (972) 254-9105	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Meridian Ambetter from Nebraska Total Care Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter of Alabama Ambetter of Illinois Ambetter of North Carolina Ambetter of Oklahoma Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Avera Health Plans BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas City Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming BlueCross BlueShield of Tennessee Common Ground Healthcare Cooperative Dean Health Plan Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Health Advantage HealthPartners Humana Medica Moda Health Plan Inc. Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Sanford Health Plan Sendero Health Plans Local Nonprofit SummaCare UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1306889472	ALBERTSONS LLC ALBERTSONS SAVON PHARMACY (Organization)	7730 N MACARTHUR BLVD IRVING, TX 75063 (972) 556-1332		Non-Participating Provider	NO
1316317209	FAST ACCESS SPECIALTY THERAPEUTICS LLC INFUCARE RX (Organization)	8101 RIDGEPOINT DR STE 100 IRVING, TX 75063 (877) 327-8881	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Meridian Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of Illinois Ambetter of North Carolina Ambetter of Oklahoma Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Avera Health Plans AvMed BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas City Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming BlueCross BlueShield of Tennessee Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Common Ground Healthcare Cooperative Community Health Choice Dean Health Plan Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Health Advantage HealthPartners Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Medica Moda Health Plan Inc. Molina Healthcare Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Primewell Health Services of Mississippi Priority Health Sanford Health Plan Sendero Health Plans Local Nonprofit SummaCare UnitedHealthcare University of Michigan Health Plan WellCare of North Carolina	Non-Participating Provider	NO
1316540610	KAWITA MALANI (Individual)	5500 N MACARTHUR BLVD IRVING, TX 75038 (972) 518-1325		Non-Participating Provider	NO
1316964562	WAL-MART STORES TEXAS LLC (Organization)	4100 W AIRPORT FWY IRVING, TX 75062 (972) 313-0701	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Meridian Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of Illinois Ambetter of North Carolina Ambetter of Oklahoma Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Avera Health Plans AvMed BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas City Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming BlueCross BlueShield of Tennessee Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Common Ground Healthcare Cooperative Dean Health Plan Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Health Advantage HealthPartners Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Humana Medica MedMutual Moda Health Plan Inc. Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Primewell Health Services of Mississippi Priority Health Sanford Health Plan Sendero Health Plans Local Nonprofit SummaCare UnitedHealthcare University of Michigan Health Plan WellCare of North Carolina	Non-Participating Provider	NO
1336167097	WAL-MART STORES TEXAS LLC WALMART PHARMACY 10-2649 (Organization)	1635 MARKET PL IRVING, TX 75063 (214) 574-4522	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Meridian Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of Illinois Ambetter of North Carolina Ambetter of Oklahoma Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Avera Health Plans AvMed BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas City Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming BlueCross BlueShield of Tennessee Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Common Ground Healthcare Cooperative Dean Health Plan Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Health Advantage HealthPartners Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Humana Medica MedMutual Moda Health Plan Inc. Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Primewell Health Services of Mississippi Priority Health Sanford Health Plan Sendero Health Plans Local Nonprofit SummaCare UnitedHealthcare University of Michigan Health Plan WellCare of North Carolina	Non-Participating Provider	NO
1346244381	SIGMA GLOBAL CORPORATION SIGMA MEDICAL/ SIGMA RX (Organization)	4343 W ROYAL LN STE 118 IRVING, TX 75063 (972) 915-3960		Non-Participating Provider	NO
1346287802	ALBERTSONS LLC SUPER SAVER SAVON PHARMACY (Organization)	535 W AIRPORT FWY IRVING, TX 75062 (972) 257-3891		Non-Participating Provider	NO
1366823023	VAB HOLDINGS LLC PHARMACY TOI (Organization)	8300 N MACARTHUR BLVD STE 130 IRVING, TX 75063 (972) 807-2663	Blue Cross and Blue Shield of Louisiana HMO Louisiana Medica Moda Health Plan Inc. Primewell Health Services of Mississippi	Non-Participating Provider	NO
1376647339	MANA GROUP PHARMACIES LLC BROWNS PHARMACY (Organization)	2021 N MACARTHUR BLVD STE 120 STE 120 IRVING, TX 75061 (972) 254-8156	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Avera Health Plans AvMed BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas City Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming BlueCross BlueShield of Tennessee Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Common Ground Healthcare Cooperative Dean Health Plan Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Health Advantage Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Humana Medica Moda Health Plan Inc. Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Primewell Health Services of Mississippi Priority Health Sanford Health Plan Sendero Health Plans Local Nonprofit UnitedHealthcare University of Michigan Health Plan	Non-Participating Provider	NO
1386659316	WALGREEN CO WALGREENS #03847 (Organization)	5310 N MACARTHUR BLVD IRVING, TX 75038 (972) 753-6506	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Meridian Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of Illinois Ambetter of North Carolina Ambetter of Oklahoma Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Avera Health Plans AvMed Baylor Scott and White Health Plan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas City Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming Chorus Community Health Plans Cigna Healthcare Common Ground Healthcare Cooperative Dean Health Plan Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Health Advantage HealthPartners Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Humana Medica MedMutual Moda Health Plan Inc. Octave Primewell Health Services of Mississippi Priority Health Sendero Health Plans Local Nonprofit SummaCare UnitedHealthcare University of Michigan Health Plan WellCare of North Carolina	Non-Participating Provider	NO
1386680403	VILLAGE DRUG INC (Organization)	109 VILLAGE SHOPPING CTR IRVING, TX 75061 (972) 579-1053		Non-Participating Provider	NO
1407394588	OPTUM INFUSION SERVICES 500, INC. (Organization)	8400 ESTERS BLVD STE 185 IRVING, TX 75063 (844) 386-2474	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Meridian Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of Illinois Ambetter of North Carolina Ambetter of Oklahoma Ambetter of Tennessee Arkansas Blue Cross and Blue Shield AultCare Insurance Company Avera Health Plans AvMed BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas City Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming BlueCross BlueShield of Tennessee Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Common Ground Healthcare Cooperative Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Health Advantage HealthPartners Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Medica MedMutual Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Primewell Health Services of Mississippi Priority Health Sanford Health Plan SummaCare University of Michigan Health Plan WellCare of North Carolina	Non-Participating Provider	NO
1427012954	LANDMARK HEALTHCARE INC (Organization)	8200 TRISTAR DR STE 120 IRVING, TX 75063 (866) 388-3883	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Meridian Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of Illinois Ambetter of North Carolina Ambetter of Oklahoma Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Avera Health Plans AvMed BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas City Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming BlueCross BlueShield of Tennessee Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Common Ground Healthcare Cooperative Dean Health Plan Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Health Advantage Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Medica Moda Health Plan Inc. Molina Healthcare Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Primewell Health Services of Mississippi Priority Health Sanford Health Plan Sendero Health Plans Local Nonprofit University of Michigan Health Plan WellCare of North Carolina WellPoint	Non-Participating Provider	NO
1437253234	CVS PHARMACY INC CVS PHARMACY # 07679 (Organization)	934 E IRVING BLVD IRVING, TX 75060 (972) 579-0211	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Meridian Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of North Carolina Ambetter of Oklahoma Arkansas Blue Cross and Blue Shield Avera Health Plans AvMed BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross Blue Shield of North Dakota BlueCross BlueShield of Tennessee Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Dean Health Plan Health Advantage HealthPartners Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Humana Medica Moda Health Plan Inc. Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Primewell Health Services of Mississippi Priority Health Sanford Health Plan Sendero Health Plans Local Nonprofit SummaCare University of Michigan Health Plan WellCare of North Carolina	Non-Participating Provider	NO
1437403227	DASHWOOD PHARMACY (Organization)	1300 W. WALNUT HILL LANE SUITE 163 IRVING, TX 75038 (972) 756-0915		Non-Participating Provider	NO
1447995170	ALBERTSONS LLC ALBERTSONS PHARMACY #0036 (Organization)	2200 W SHADY GROVE RD IRVING, TX 75060 (972) 374-5100	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Avera Health Plans AvMed BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas City Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming BlueCross BlueShield of Tennessee Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Common Ground Healthcare Cooperative Dean Health Plan Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Health Advantage HealthPartners Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Humana Medica MedMutual Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Primewell Health Services of Mississippi Priority Health Sanford Health Plan Sendero Health Plans Local Nonprofit SummaCare UnitedHealthcare University of Michigan Health Plan	Non-Participating Provider	NO
1457471187	METRO PHARMACY, INC. (Organization)	421 E AIRPORT FWY IRVING, TX 75062 (972) 257-0904		Non-Participating Provider	NO
1467829846	PHARMACY CORPORATION OF AMERICA PHARMERICA (Organization)	8300 ESTERS BLVD SUITE 950 IRVING, TX 75063 (214) 260-6900		Non-Participating Provider	NO
1477257723	TXPHARMACISTS LLC (Organization)	3600 CONFLANS RD # 210 IRVING, TX 75061 (469) 340-4030	Avera Health Plans Baylor Scott and White Health Plan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas City Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming Chorus Community Health Plans Common Ground Healthcare Cooperative Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Sanford Health Plan	Non-Participating Provider	NO
1477630333	RLS SUPERMARKETS LLC MINYARD PHARMACY (Organization)	2200 W SHADY GROVE RD IRVING, TX 75060 (972) 790-3753		Non-Participating Provider	NO
1518985209	SAMS EAST INC (Organization)	1213 MARKET PL IRVING, TX 75063 (972) 401-0230	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Meridian Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of Illinois Ambetter of North Carolina Ambetter of Oklahoma Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Avera Health Plans AvMed BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas City Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming BlueCross BlueShield of Tennessee Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Common Ground Healthcare Cooperative Dean Health Plan Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Health Advantage HealthPartners HMO Louisiana Humana Medica MedMutual Moda Health Plan Inc. Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Primewell Health Services of Mississippi Priority Health Sanford Health Plan Sendero Health Plans Local Nonprofit SummaCare UnitedHealthcare University of Michigan Health Plan WellCare of North Carolina	Non-Participating Provider	NO
1558449512	MINYARD FOOD STORES INC. CARNVIAL PHARMACY #125 (Organization)	1706 W IRVING BLVD IRVING, TX 75061 (972) 254-4179		Non-Participating Provider	NO
1568408003	ONCOLOGY PHARMACY SERVICES, INC TEXAS ONCOLOGY PHARMACY IRVING (Organization)	2021 N MACARTHUR BLVD STE 400 IRVING, TX 75061 (972) 253-3751	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Avera Health Plans AvMed BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas City Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming BlueCross BlueShield of Tennessee Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Common Ground Healthcare Cooperative Dean Health Plan Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Health Advantage HealthPartners Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Medica Moda Health Plan Inc. Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Primewell Health Services of Mississippi Priority Health Sanford Health Plan Sendero Health Plans Local Nonprofit SummaCare University of Michigan Health Plan	Non-Participating Provider	NO
1578805172	MOUNTAIN CARE PHARMACY TEXAS LLC MOUNTAIN CARE PHARMACY (Organization)	2010 CENTURY CENTER BLVD STE J IRVING, TX 75062 (972) 536-1986		Non-Participating Provider	NO
1598136525	EXPRESSMEDS PHARMACY LLC (Organization)	2300 VALLEY VIEW LN SUITE 244 IRVING, TX 75062 (214) 330-6300		Non-Participating Provider	NO
1609472281	CORDELIA NGOZI ABAZIE (Individual)	4100 W AIRPORT FWY IRVING, TX 75062 (972) 313-0701		Non-Participating Provider	NO
1619479557	TXPHARMACISTS LLC FATE PHARMACY (Organization)	3600 CONFLANS RD # 210 IRVING, TX 75061 (469) 340-4030	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Meridian Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of Illinois Ambetter of North Carolina Ambetter of Oklahoma Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Avera Health Plans AvMed BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas City Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming BlueCross BlueShield of Tennessee Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Common Ground Healthcare Cooperative Dean Health Plan Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Health Advantage Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Humana Medica MedMutual Moda Health Plan Inc. Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Primewell Health Services of Mississippi Sanford Health Plan Sendero Health Plans Local Nonprofit UnitedHealthcare University of Michigan Health Plan WellCare of North Carolina	Non-Participating Provider	NO
1629969084	ALBERTSONS LLC (Organization)	4651 W JOHN CARPENTER FWY STE 100 IRVING, TX 75063 (833) 842-0910		Non-Participating Provider	NO
1649823535	PATIENT 1ST PHARMACY DALLAS LLC (Organization)	4600 FULLER DR STE 360 IRVING, TX 75038 (972) 600-8216		Non-Participating Provider	NO
1649826066	LEMON PHARMACY LLC (Organization)	3501 N MACARTHUR BLVD STE 340 IRVING, TX 75062 (972) 889-9805	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Meridian Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of Illinois Ambetter of North Carolina Ambetter of Oklahoma Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Avera Health Plans BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas City Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming BlueCross BlueShield of Tennessee Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Common Ground Healthcare Cooperative Dean Health Plan Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Health Advantage HealthPartners Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Humana Medica MedMutual Moda Health Plan Inc. Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Primewell Health Services of Mississippi Priority Health Sanford Health Plan Sendero Health Plans Local Nonprofit SummaCare UnitedHealthcare University of Michigan Health Plan WellCare of North Carolina	Non-Participating Provider	NO
1679925309	DOCTOR'S SPECIALTY PHARMACY, LLC (Organization)	8600 FREEPORT PKWY STE 110 IRVING, TX 75063 (469) 906-2002		Non-Participating Provider	NO
1679949549	CVS PHARMACY INC CVS PHARMACY #10880 (Organization)	8580 N MACARTHUR BLVD IRVING, TX 75063 (469) 420-9260	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Meridian Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of North Carolina Ambetter of Oklahoma Arkansas Blue Cross and Blue Shield Avera Health Plans AvMed BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross Blue Shield of North Dakota BlueCross BlueShield of Tennessee Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Dean Health Plan Health Advantage HealthPartners Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Humana Medica Moda Health Plan Inc. Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Primewell Health Services of Mississippi Priority Health Sanford Health Plan Sendero Health Plans Local Nonprofit SummaCare University of Michigan Health Plan WellCare of North Carolina	Non-Participating Provider	NO
1700998614	BURTIS DRUG, INC. GIBSON PHARMACY (Organization)	815 N O CONNOR RD IRVING, TX 75061 (972) 579-0511		Non-Participating Provider	NO
1730118704	RANDALLS FOOD & DRUGS LP TOM THUMB PHARMACY #3621 (Organization)	4010 N MACARTHUR BLVD STE 100 IRVING, TX 75038 (972) 650-2090	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Avera Health Plans AvMed BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas City Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming BlueCross BlueShield of Tennessee Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Common Ground Healthcare Cooperative Dean Health Plan Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Health Advantage HealthPartners Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia Humana Medica MedMutual Moda Health Plan Inc. Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Primewell Health Services of Mississippi Sanford Health Plan Sendero Health Plans Local Nonprofit SummaCare UnitedHealthcare University of Michigan Health Plan	Non-Participating Provider	NO
1730194762	WALGREEN CO WALGREENS #04054 (Organization)	1050 W SHADY GROVE RD IRVING, TX 75060 (972) 254-0305	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Meridian Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of Illinois Ambetter of North Carolina Ambetter of Oklahoma Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Avera Health Plans AvMed Baylor Scott and White Health Plan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas City Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming Chorus Community Health Plans Cigna Healthcare Common Ground Healthcare Cooperative Dean Health Plan Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Health Advantage HealthPartners Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Humana Medica MedMutual Moda Health Plan Inc. Octave Primewell Health Services of Mississippi Priority Health Sendero Health Plans Local Nonprofit SummaCare UnitedHealthcare University of Michigan Health Plan WellCare of North Carolina	Non-Participating Provider	NO
1750396396	PHALCON UNITED LLP LAS COLINAS PHARMACY (Organization)	6420 N MACARTHUR BLVD STE 100 IRVING, TX 75039 (972) 993-9700	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Meridian Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of Illinois Ambetter of North Carolina Ambetter of Oklahoma Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Avera Health Plans BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Kansas City Blue Cross and Blue Shield of Louisiana BlueCross BlueShield of Tennessee Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Common Ground Healthcare Cooperative Dean Health Plan Health Advantage HealthPartners Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Humana Medica MedMutual Moda Health Plan Inc. Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Primewell Health Services of Mississippi Priority Health Sanford Health Plan Sendero Health Plans Local Nonprofit SummaCare University of Michigan Health Plan WellCare of North Carolina	Non-Participating Provider	NO
1750512091	ALPHA PHARMACY (Organization)	8787 N MACARTHUR BLVD STE 120 IRVING, TX 75063 (469) 262-5742		Non-Participating Provider	NO
1760499677	WALGREEN CO WALGREENS #07354 (Organization)	1330 N BELT LINE RD IRVING, TX 75061 (469) 417-0358	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Meridian Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of Illinois Ambetter of North Carolina Ambetter of Oklahoma Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Avera Health Plans AvMed Baylor Scott and White Health Plan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas City Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming Chorus Community Health Plans Cigna Healthcare Common Ground Healthcare Cooperative Dean Health Plan Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Health Advantage HealthPartners Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Humana Medica MedMutual Moda Health Plan Inc. Octave Primewell Health Services of Mississippi Priority Health Sendero Health Plans Local Nonprofit SummaCare UnitedHealthcare University of Michigan Health Plan WellCare of North Carolina	Non-Participating Provider	NO
1760637631	MERIDIAN PHARMACY GROUP AT IRVING INC MERIDIAN PHARMACY GROUP (Organization)	1111 S IRVING HEIGHTS DR IRVING, TX 75060 (214) 492-0123	Medica	Non-Participating Provider	NO
1770125379	CLRX INC HOLISTIC PHARMACY SERVICES (Organization)	433 LAS COLINAS BLVD E STE 1075 IRVING, TX 75039 (817) 720-9540		Non-Participating Provider	NO
1770500258	PHARMACY PLUS, INC. PHARMACY PLUS #8 (Organization)	7200 STATE HIGHWAY 161 SUITE 110 IRVING, TX 75039 (972) 401-7455		Non-Participating Provider	NO
1780757203	KROGER TEXAS L P KROGER PHARMACY (Organization)	7505 N MACARTHUR BLVD IRVING, TX 75063 (972) 373-8158	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Meridian Ambetter from Nebraska Total Care Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter of Alabama Ambetter of Illinois Ambetter of North Carolina Ambetter of Oklahoma Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Avera Health Plans BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas City Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming BlueCross BlueShield of Tennessee Common Ground Healthcare Cooperative Dean Health Plan Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Health Advantage HealthPartners Humana Medica Moda Health Plan Inc. Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Sanford Health Plan Sendero Health Plans Local Nonprofit SummaCare UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1790842144	PHARMACIA HENRIQUE PHARMACIA HENRIQUE (Organization)	1430 N MACARTHUR BLVD STE 107 IRVING, TX 75061 (214) 587-6922	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Meridian Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of Illinois Ambetter of North Carolina Ambetter of Oklahoma Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Avera Health Plans AvMed BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas City Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming BlueCross BlueShield of Tennessee Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Common Ground Healthcare Cooperative Dean Health Plan Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Health Advantage Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Humana Medica Moda Health Plan Inc. Octave Primewell Health Services of Mississippi Priority Health Sanford Health Plan Sendero Health Plans Local Nonprofit UnitedHealthcare University of Michigan Health Plan WellCare of North Carolina	Non-Participating Provider	NO
1790889590	CVS PHARMACY INC CVS PHARMACY # 07715 (Organization)	410 W ROCHELLE RD IRVING, TX 75062 (972) 258-6015	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Meridian Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of North Carolina Ambetter of Oklahoma Arkansas Blue Cross and Blue Shield Avera Health Plans AvMed BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross Blue Shield of North Dakota BlueCross BlueShield of Tennessee Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Dean Health Plan Health Advantage HealthPartners Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Humana Medica Moda Health Plan Inc. Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Primewell Health Services of Mississippi Priority Health Sanford Health Plan Sendero Health Plans Local Nonprofit SummaCare University of Michigan Health Plan WellCare of North Carolina	Non-Participating Provider	NO
1801835269	COVERMYMEDS PHARMACY LLC RXC ACQUISITION COMPANY (Organization)	845 REGENT BLVD., STE. 100A / 100B IRVING, TX 75063 (888) 479-6337	HealthPartners SummaCare	Non-Participating Provider	NO
1811002850	SAVCOP LTD FARMACIA CENTRAL (Organization)	504 N OCONNOR RD IRVING, TX 75061 (972) 253-3455	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Meridian Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of Illinois Ambetter of North Carolina Ambetter of Oklahoma Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Avera Health Plans BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas City Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming BlueCross BlueShield of Tennessee Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Common Ground Healthcare Cooperative Dean Health Plan Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Health Advantage HealthPartners HMO Louisiana Humana Medica MedMutual Moda Health Plan Inc. Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Primewell Health Services of Mississippi Sanford Health Plan Sendero Health Plans Local Nonprofit SummaCare WellCare of North Carolina	Non-Participating Provider	NO
1811060346	KROGER TEXAS L P KROGER PHARMACY (Organization)	2201 W GRAUWYLER RD IRVING, TX 75061 (972) 790-5747	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Meridian Ambetter from Nebraska Total Care Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter of Alabama Ambetter of Illinois Ambetter of North Carolina Ambetter of Oklahoma Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Avera Health Plans BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas City Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming BlueCross BlueShield of Tennessee Common Ground Healthcare Cooperative Dean Health Plan Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Health Advantage HealthPartners Humana Medica Moda Health Plan Inc. Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Sanford Health Plan Sendero Health Plans Local Nonprofit SummaCare UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1821416363	EXPRESSMEDS PHARMACY LLC (Organization)	2300 VALLEY VIEW LN STE 246 IRVING, TX 75062 (214) 330-6300		Non-Participating Provider	NO
1861098527	CVS PHARMACY INC CVS PHARMACY # 11389 (Organization)	8700 N BELT LINE RD IRVING, TX 75063 (214) 765-2014	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Meridian Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of North Carolina Ambetter of Oklahoma Arkansas Blue Cross and Blue Shield Avera Health Plans BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross Blue Shield of North Dakota BlueCross BlueShield of Tennessee Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Dean Health Plan Health Advantage HealthPartners Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Humana Medica Moda Health Plan Inc. Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Primewell Health Services of Mississippi Priority Health Sanford Health Plan Sendero Health Plans Local Nonprofit SummaCare University of Michigan Health Plan WellCare of North Carolina	Non-Participating Provider	NO
1881791382	CVS PHARMACY INC CVS PHARMACY # 06803 (Organization)	2222 N STORY RD IRVING, TX 75062 (972) 255-4155	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Meridian Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of North Carolina Ambetter of Oklahoma Arkansas Blue Cross and Blue Shield Avera Health Plans BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross Blue Shield of North Dakota BlueCross BlueShield of Tennessee Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Dean Health Plan Health Advantage HealthPartners Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Humana Medica Moda Health Plan Inc. Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Primewell Health Services of Mississippi Priority Health Sanford Health Plan Sendero Health Plans Local Nonprofit SummaCare University of Michigan Health Plan WellCare of North Carolina	Non-Participating Provider	NO
1891703575	OPTION CARE ENTERPRISES, INC. OPTION CARE (Organization)	6611 N BELT LINE RD SUITE 100 IRVING, TX 75063 (972) 536-7355	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Meridian Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of Illinois Ambetter of North Carolina Ambetter of Oklahoma Ambetter of Tennessee Arkansas Blue Cross and Blue Shield Avera Health Plans BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming BlueCross BlueShield of Tennessee Cigna Healthcare Cigna HealthCare of Arizona Inc Common Ground Healthcare Cooperative Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) HAP CareSource Health Advantage HealthPartners HMO Louisiana Medica Moda Health Plan Inc. Molina Healthcare Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Primewell Health Services of Mississippi Sanford Health Plan SummaCare WellCare of North Carolina WellPoint	Non-Participating Provider	NO
1891856969	PROFESSIONAL PHARMACY II PROFESSIONAL PHARMACY II (Organization)	1221 W AIRPORT FWY STE 111 IRVING, TX 75062 (972) 514-1277		Non-Participating Provider	NO
1902056427	GENERX DISCOUNT PHARMACY INC. (Organization)	1202 W PIONEER DR STE 140 IRVING, TX 75061 (972) 417-8895	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Meridian Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of Illinois Ambetter of North Carolina Ambetter of Oklahoma Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Avera Health Plans Baylor Scott and White Health Plan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas City Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming BlueCross BlueShield of Tennessee Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Common Ground Healthcare Cooperative Dean Health Plan Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Health Advantage HealthPartners Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Humana Medica MedMutual Moda Health Plan Inc. Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Primewell Health Services of Mississippi Priority Health Sanford Health Plan Sendero Health Plans Local Nonprofit SummaCare UnitedHealthcare University of Michigan Health Plan WellCare of North Carolina	Non-Participating Provider	NO
1912449828	AMERICA FIRST PHARMACIES INC (Organization)	7801 MESQUITE BEND DR SUITE 108 IRVING, TX 75063 (972) 947-2400	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Meridian Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of Illinois Ambetter of North Carolina Ambetter of Oklahoma Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Avera Health Plans BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming BlueCross BlueShield of Tennessee Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Dean Health Plan Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Health Advantage HealthPartners Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Humana Medica MedMutual Moda Health Plan Inc. Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Primewell Health Services of Mississippi Priority Health Sendero Health Plans Local Nonprofit SummaCare University of Michigan Health Plan WellCare of North Carolina	Non-Participating Provider	NO
1912537127	FAMILY PHARMACY AT LAS COLINAS LLC FAMILY PHARMACY AT LAS COLINAS LLC (Organization)	6555 NORTH STATE HWY 161 SUITE B IRVING, TX 75039 (972) 830-3600	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Meridian Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of Illinois Ambetter of North Carolina Ambetter of Oklahoma Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Avera Health Plans BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas City Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming BlueCross BlueShield of Tennessee Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Common Ground Healthcare Cooperative Dean Health Plan Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Health Advantage HealthPartners Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Humana Medica MedMutual Moda Health Plan Inc. Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Primewell Health Services of Mississippi Priority Health Sanford Health Plan Sendero Health Plans Local Nonprofit SummaCare UnitedHealthcare University of Michigan Health Plan WellCare of North Carolina	Non-Participating Provider	NO
1922792027	MANA GROUP PHARMACIES LLC (Organization)	2021 N MACARTHUR BLVD STE 120 IRVING, TX 75061 (972) 254-8156	Avera Health Plans Baylor Scott and White Health Plan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas City Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming Common Ground Healthcare Cooperative Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Sanford Health Plan	Non-Participating Provider	NO
1952759938	PURANI INC (Organization)	3959 YOGI WAY IRVING, TX 75038 (972) 330-6395		Non-Participating Provider	NO
1962413518	LP LYNN-SCOTT INC LINDSEYS PHARMACY (Organization)	2616 TEXAS DR IRVING, TX 75062 (972) 252-8644	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Meridian Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of Illinois Ambetter of North Carolina Ambetter of Oklahoma Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Avera Health Plans BannerAetna Baylor Scott and White Health Plan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas City Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wyoming BlueCross BlueShield of Tennessee Chorus Community Health Plans CHRISTUS Health Plan Cigna Healthcare Common Ground Healthcare Cooperative Dean Health Plan Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Health Advantage HealthPartners Highmark Blue Cross Blue Shield Delaware Highmark Blue Cross Blue Shield West Virginia HMO Louisiana Humana Medica Moda Health Plan Inc. Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Primewell Health Services of Mississippi Priority Health Sanford Health Plan Sendero Health Plans Local Nonprofit SummaCare UnitedHealthcare University of Michigan Health Plan WellCare of North Carolina	Non-Participating Provider	NO
1972773711	REMINGTON RESOURCES INCORPORATED TOTAL CARE PHARMACY AND COMPOUNDING (Organization)	3636 N MACARTHUR BLVD STE 100 IRVING, TX 75062 (972) 570-4800		Non-Participating Provider	NO
1972958882	PRIME THERAPEUTICS LLC PRIME THERAPEUTICS LLC (Organization)	2901 KINWEST PKWY STE 250 IRVING, TX 75063 (972) 630-1065		Non-Participating Provider	NO
1982371217	FAST ACCESS SPECIALTY THERAPEUTICS, LLC (Organization)	8101 RIDGEPOINT DR STE 100 IRVING, TX 75063 (877) 327-8881	Aetna CVS Health Arkansas Blue Cross and Blue Shield Avera Health Plans BannerAetna Baylor Scott and White Health Plan BlueCross BlueShield of Tennessee Health Advantage Octave Oscar Health Insurance Oscar Health Plan of North Carolina Inc Oscar Health Plan Inc. Oscar Insurance Company Oscar Insurance Company of Florida Oscar Insurance Corporation of Ohio Sanford Health Plan	Non-Participating Provider	NO

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