Lubbock State Supported Living Center Pharmacy – Long Term Care Pharmacy, NPI 1104990365

Lubbock State Supported Living Center Pharmacy is a healthcare provider. based in Lubbock, Texas. specializing in Long Term Care Pharmacy. The organization holds a License No. 6021 (TX). The NPI Number for Lubbock State Supported Living Center Pharmacy is 1104990365

Main info

Organization
Name
Lubbock State Supported Living Center Pharmacy
NPI
1104990365
Phone
(806) 763-7041
Address
PO BOX 5396
Authorized Official
SCOTT SCHALCHLIN ASSOCIATE COMMISSIONER
Enumeration Date
20 November 2006
Last Update Date
23 January 2019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Lubbock State Supported Living Center Pharmacy

  • Lubbock Post Office, 1515, Crickets Avenue, Lubbock, Lubbock County, Texas, 79402, United States

    LUBBOCK, TX 794085396

    Phone: (806) 763-7041

    Fax: (806) 741-3604

    Type: Mailing

  • Lubbock State Supported Living Center, 3401, North University Avenue, Lubbock, Lubbock County, Texas, 79415, United States

    LUBBOCK, TX 794151734

    Phone: (806) 763-7041

    Fax: (806) 741-3604

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79408)

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Reviews

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Frequently asked questions

How do I look up Lubbock State Supported Living Center Pharmacy by NPI?
Use NPI 1104990365 when you need to reference Lubbock State Supported Living Center Pharmacy in forms, claims, or directories.
Is Lubbock State Supported Living Center Pharmacy's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does Lubbock State Supported Living Center Pharmacy list a primary specialty?
If you are matching referrals, note Long Term Care Pharmacy for Lubbock State Supported Living Center Pharmacy. Clinical services aligned with this taxonomy classification.
Where is Lubbock State Supported Living Center Pharmacy's primary listing?
We display Lubbock, Texas because that is what the record indicates for Lubbock State Supported Living Center Pharmacy.
Is Lubbock State Supported Living Center Pharmacy a real provider?
This page reflects official NPPES data for NPI 1104990365. Always confirm identity and privileges with the practice and licensing boards.

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