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TEXAS HEALTH RX PHARMACY
NPI 1104307065
Clinic/Center in Burleson, TX

Active since August 28, 2018CLIA 45D2314956 · Waiver
12333 BEAR PLZ STE 100, BURLESON, TX 76028(817) 789-4099(800) 616-4641 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2024, Oct 20, 2020, Feb 6, 2020 and 1 more (4 updates tracked since 2018).

About Texas Health Rx Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEXAS HEALTH RX PHARMACY (NPI 1104307065) is a healthcare organization registered as a clinic/center in Burleson, Texas and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through December 2, 2026, maintains a secondary practice location in Burleson, and lists Renukaben Patel, Officer, as its authorized official.

NPPES Registry Identity

NPI1104307065
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameOCEAN BLUE HOLDINGS, LLC
Location Address12333 BEAR PLZ STE 100Burleson, TX 76028-0284
Mailing Address12333 Bear Plz Ste 100Burleson, TX 76028-0284 · (817) 789-4099 · Fax (800) 616-4641
Phone(817) 789-4099
Fax(800) 616-4641
Organization SubpartNo
Authorized OfficialRenukaben PatelOfficer · (856) 873-3826
Enumeration DateAugust 28, 2018
Last NPPES UpdateSeptember 11, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
✔ NPI 1104307065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
12333 BEAR PLZ STE 100, Burleson, TX 76028
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Other Names 2

Doing Business AsTexas Health Rx Pharmacy
Former Legal Business NameJohnson Pharmacy

Secondary Practice Location 1

Location 1113 NE Johnson Ave Ste 300Burleson, TX 76028-4139 · Phone (817) 789-4099 · Fax (800) 616-4641

Other Identifiers 1

Medicaid150249TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2314956

Texas Health Rx Pharmacy · Burleson, TX
Active · expires Dec 2, 2026
CLIA Number45D2314956
Laboratory TypePharmacy
Certificate Effective DateDecember 3, 2024
Certificate Expiration DateDecember 2, 2026
Laboratory DirectorKirat Shahiwala
Laboratory Phone(817) 789-4099
Laboratory LocationTexas Health Rx Pharmacy12333 Bear Plaza Ste 100, Burleson, TX 76028
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAJ MEHTA PHARMD
Pharmacist
12333 BEAR PLZ STE 100
BURLESON, TX 76028
Johnson County (682) 224-0888
DR. KIRAT SHAHIWALA PHARM.D., BSPHARM
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
12333 BEAR PLZ STE 100
BURLESON, TX 76028
Johnson County (817) 789-4099
OCEAN BLUE HOLDINGS, LLC
Pharmacy (Long Term Care Pharmacy)
12333 BEAR PLZ STE 100
BURLESON, TX 76028
Johnson County (817) 789-4099

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ocean Blue Holdings, LLC's NPI number?

The NPI number for Ocean Blue Holdings, LLC is 1104307065. It was assigned to this organization in the NPPES registry on August 28, 2018. The provider is doing business as Texas Health Rx Pharmacy. The provider was formerly known as Johnson Pharmacy.

Where is Ocean Blue Holdings, LLC located?

Ocean Blue Holdings, LLC is located at 12333 Bear Plz Ste 100, Burleson, TX 76028. The listed phone number is (817) 789-4099.

What is Ocean Blue Holdings, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Ocean Blue Holdings, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2314956) is associated with this NPI, valid through December 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ocean Blue Holdings, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 55 other insurers list Ocean Blue Holdings, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ocean Blue Holdings, LLC was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.