ANDREA POLK CPHT – NPI #1255077293
Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

ANDREA POLK is a pharmacy located in IRVING, TX. NPPES has assigned the NPI number 1255077293 to ANDREA POLK on May 11, 2022. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 3336C0002X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Clinic Pharmacy

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANDREA POLK below.

NPI Profile for
ANDREA POLK

NPI Number
1255077293
Enumeration Date

(more than 4 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ANDREA POLK
Credentials
CPHT
Primary location
2001 W JOHN CARPENTER FWY
IRVING, TX 75063-3255
Phone: (800) 379-0092 Fax:
1 Other location(s):
9843 Windisch Rd
West Chester, OH 45069-3826
Phone: (888) 431-4748
Mailing address
642 ST CHARLES CT
ARLINGTON, TX 76013-1370
Phone: (469) 401-0080 Fax:
Sole Proprietor
Yes
Updated
Certification Date
May 11, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ANDREA POLK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERSTATE PHARMACY LICENSETX102239
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0002X
- Pharmacy / Clinic Pharmacy (Primary)
TX 1124201215

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
MAIL ORDER
Content Type
Affiliation
Y
Endpoint Location
2001 W JOHN CARPENTER FWY STE 142,
IRVING, TX 77025-1669