Specialty Care Rx – Specialty Pharmacy, NPI 1609365543
Specialty Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Specialty Care Rx
228, East Main Street, Fort Wayne, Allen County, Indiana, 46802, United States
ALLEN, TX 750023909
Phone: (469) 257-4200
Fax: (469) 795-9204
Type: Mailing
6200 CHASE OAKS BLVD STE 102A
PLANO, TX 750234652
Phone: (469) 257-4200
Fax: (469) 795-9204
Type: Location
200 E KATELLA AVE STE C
ORANGE, CA 928674805
Phone: (949) 506-1300
Fax: (866) 511-4654
Type: Mailing
2140 W CHAPMAN AVE STE 240
ORANGE, CA 928682332
Phone: (469) 257-4200
Fax: (469) 795-9204
Type: Mailing
100, North Allen Drive, Downtown Allen, Allen, Collin County, Texas, 75013, United States
ALLEN, TX 750132500
Phone: (469) 257-4200
Fax: (469) 795-9204
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.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-11-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-11-30 (191 days ago).
Enrollment records
2
Earliest due date
2025-11-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20200428001010 | O | Pharmacy | TX | 2025-11-30 |
| O20211103001719 | O | Mass Immunization (Roster Biller Only) | TX | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
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 75002)
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Reviews
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