Specialty Rx
NPI 1104365295ActiveOrganization· Pharmacy· Lubbock, TX
Pharmacy in Lubbock, Texas, registered in NPPES in February 2017. The authorized official on file is Christopher Hobart, PHARM D, Owner/Pic. Medicare paid $3,129 for services to 14 patients in 2024.
Overview
| NPI | 1104365295 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 22, 2017 |
| Last updated in NPPES | Aug 20, 2026 |
| Certified by provider | Aug 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 31272 | TX |
| Pharmacy, Compounding Pharmacy | 3336C0004X | — | — |
| Pharmacy, Specialty Pharmacy | 3336S0011X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 14 |
|---|---|
| Services billed | 42 across 7 procedure codes |
| Paid by Medicare | $3,129 |
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