Pharmacy Care USA of Addison, LLC
NPI 1669805628ActiveOrganization· Pharmacy, Long Term Care Pharmacy· Addison, TX
Pharmacy, Long Term Care Pharmacy in Addison, Texas, registered in NPPES in August 2013. The authorized official on file is Doris Petek-Gomersall, Svp Corporate Compliance. Medicare paid $34,169 for services to 120 patients in 2024.
Overview
| NPI | 1669805628 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 14, 2013 |
| Last updated in NPPES | Oct 22, 2026 |
| Certified by provider | Oct 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Long Term Care Pharmacy Primary | 3336L0003X | 28672 | TX |
| Pharmacy, Compounding Pharmacy | 3336C0004X | — | — |
| Pharmacy, Long Term Care Pharmacy | 3336L0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (TX); Part B Supplier - Mass Immunization (Roster Biller Only) (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 120 |
|---|---|
| Services billed | 240 across 4 procedure codes |
| Paid by Medicare | $34,169 |
Other Pharmacy, Long Term Care Pharmacy providers in Addison
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