Medical Arts Pharmacy – Pharmacy, NPI 1720081656
Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Medical Arts Pharmacy
Pecos Street, Central, San Angelo, Tom Green County, Texas, 76901, United States
STE 4
SAN ANGELO, TX 769013061
Phone: (325) 949-4636
Fax: (325) 942-0761
Mailing address matches the actual address.
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.
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (982 days ago).
Enrollment records
1
Earliest due date
2023-09-30
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 |
|---|---|---|---|---|
| O20170921002905 | O | Mass Immunization (Roster Biller Only) | TX | 2023-09-30 |
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 52 | 52 | $0 |
| G0008 | Administration of influenza virus vaccine | 52 | 52 | $0 |
Insurance plans in this area (ZIP 76901)
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