MY DELIVERY PHARMACY NPI 1003422650

Pharmacy (Community/Retail Pharmacy) in Katy, TX

NPI 1003422650 Organization Pharmacy Community/Retail Pharmacy Medicare Supplier Accepts Medicare Approved Payment CLIA Number 45D2195864 CLIA Certificate of Waiver

About MY DELIVERY PHARMACY

My Delivery Pharmacy is a provider established in Katy, Texas specializing in pharmacy (community/retail pharmacy) . The NPI number of My Delivery Pharmacy is 1003422650 and was assigned on September 2020. The practitioner's primary taxonomy code is 3336C0003X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dr. Sylvester Osa-iyare Pharmd (Pharmacist In Charge)

My Delivery Pharmacy is a medicare supplier with PTAN 7854500001 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Nebulizer Drugs or Oral Anticancer Drugs or Immunosuppressive Drugs or Oral Antiemetic Drugs.

The CLIA number of My Delivery Pharmacy is 45D2195864 registered as a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to My Delivery Pharmacy to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1003422650

Provider NameMY DELIVERY PHARMACY
Provider Location Address6356 S PEEK RD STE 1200 KATY, TX 77450
Provider Mailing Address6356 S PEEK RD STE 1200 KATY, TX 77450
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-18-2020
Last Update Date09-18-2020


Primary Taxonomy

Taxonomy Code3336C0003X
ClassificationPharmacy
TypeSuppliers
SpecializationCommunity/Retail Pharmacy
Taxonomy DescriptionA pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Business Address

MY DELIVERY PHARMACY
6356 S PEEK RD STE 1200
KATY, TX
ZIP 77450
Phone: (281) 717-8760
Fax: (281) 717-8762

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Mailing Address

MY DELIVERY PHARMACY
6356 S PEEK RD STE 1200
KATY, TX
ZIP 77450
Phone: (281) 717-8760
Fax: (281) 717-8762



Authorized Official

Authorized Official NameDR. SYLVESTER OSA-IYARE PHARMD
Authorized Official TitlePHARMACIST IN CHARGE
Authorized Official Phone(281) 717-8760

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN7854500001
Accepts Medicare AssignmentYES
Specialities ListPharmacy.
Supplies List
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Oral Antiemetic Drugs - FDA antiemetic drugs
Competitive BiddingNO

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1003422650 is:

CLIA Number45D2195864
Facility TypePHARMACY
Certificate TypeCertificate of Waiver

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.