Carvajal Pharmacy Ltc
NPI 1912615998ActiveOrganization· Pharmacy, Long Term Care Pharmacy· Grand Prairie, TX
Pharmacy, Long Term Care Pharmacy in Grand Prairie, Texas, registered in NPPES in November 2022. The authorized official on file is Lisa Martinez, CPHT, Admin. Assistant. Medicare paid $5,589 for services to 23 patients in 2024.
Overview
| NPI | 1912615998 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 9, 2022 |
| Last updated in NPPES | Jul 17, 2025 |
| Certified by provider | Jul 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Long Term Care Pharmacy Primary | 3336L0003X | — | — |
| Pharmacy, Home Infusion Therapy Pharmacy | 3336H0001X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 23 |
|---|---|
| Services billed | 58 across 7 procedure codes |
| Paid by Medicare | $5,589 |
Other Pharmacy, Long Term Care Pharmacy providers in Grand Prairie
- 1679359608
- 1700819380