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PHARMACY CARE USA OF ADDISON, LLC
NPI 1669805628
Pharmacy - Long Term Care Pharmacy in Addison, TX

Active since August 14, 2013
4500 RATLIFF LANE, SUITE 102, ADDISON, TX 75001(972) 388-1800(877) 505-7999 Get Directions Write a Review

NPPES record last updated: February 28, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 28, 2019, Nov 9, 2018, Aug 14, 2018 (3 updates tracked since 2018).

About Pharmacy Care Usa Of Addison, Llc NPPES

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

PHARMACY CARE USA OF ADDISON, LLC (NPI 1669805628) is a healthcare organization registered as a long term care pharmacy in Addison, Texas and active in the NPI registry since August 2013. The organization lists Doris Petek-gomersall, Svp Corporate Compliance, as its authorized official.

NPPES Registry Identity

NPI1669805628
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NamePHARMACY CARE USA OF ADDISON, LLC
Location Address4500 RATLIFF LANE, SUITE 102Addison, TX 75001
Mailing AddressP.o. Box 365Hydro, OK 73048 · (972) 388-1800 · Fax (877) 505-7999
Phone(972) 388-1800
Fax(877) 505-7999
Organization SubpartNo
Authorized OfficialDoris Petek-gomersallSvp Corporate Compliance · (970) 250-2044
Enumeration DateAugust 14, 2013
Last NPPES UpdateFebruary 28, 20193 updates tracked since enumeration
✔ NPI 1669805628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in TX · 28672
Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
4500 RATLIFF LANE, Addison, TX 75001
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Other Names 1

Doing Business AsPharmacy Care Usa Of Addison, Llc

Other Identifiers 1

Other2141466Pk

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 ›

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
120 services120 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
91 services91 patients
Pneumococcal vaccine, 23-valent 90732
The 23-valent pneumococcal vaccine is an injection that helps protect against serious infections caused by 23 types of pneumococcal bacteria. It's vital for those at risk, like older adults or people with certain health conditions, to prevent pneumonia, meningitis, and bloodstream infections.
28 services28 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Pharmacy Care Usa Of Addison LLC carries, from the Medicare DMEPOS supplier directory.

Pharmacy Care Usa Of Addison LLC

DMEPOS supplier · Addison, TX
✔

Accepts Medicare assignment

Pharmacy Care Usa Of Addison LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20454191
Medicare Participant SinceJuly 30, 2018
Supplier Location4275 Kellway Cir Ste 108Addison, TX 75001
Phone(972) 388-1800
Supplier Specialties
Pharmacy

Medicare Product Categories

Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
External Infusion Pumps and/or Supplies
An infusion pump is necessary to safely administer the drug
Insulin Infusion Pumps and/or Supplies
Disposable Insulin Delivery System, Mechanical insulin infusion pumps, Needle type infusion sets, Cannula type infusion sets
Enteral Nutrients
Enteral formula
Enteral Equipment and/or Supplies
Enteral infusion pumps, enteral nutrition supply kits
Parenteral Equipment and/or Supplies
Parenteral infusion pumps, parenteral nutrition supply kits
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Pharmacy Care Usa Of Addison, LLC's NPI number?

The NPI number for Pharmacy Care Usa Of Addison, LLC is 1669805628. It was assigned to this organization in the NPPES registry on August 14, 2013.

Where is Pharmacy Care Usa Of Addison, LLC located?

Pharmacy Care Usa Of Addison, LLC is located at 4500 Ratliff Lane Suite 102, Addison, TX 75001. The listed phone number is (972) 388-1800.

What is Pharmacy Care Usa Of Addison, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Pharmacy Care Usa Of Addison, LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Pharmacy Care Usa Of Addison LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Pharmacy Care Usa Of Addison, 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 51 other insurers list Pharmacy Care Usa Of Addison, 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 Pharmacy Care Usa Of Addison, LLC was last updated on February 28, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.