If the organization is not a subpart of another organization then select a radio button that indicates as ‘No’. The legal entity must obtain an NPI. about submitting notices and www.HIPAASpace.com policy about responding to notices in our Help Center. The date that a record was last updated or changed. The 10-position telephone number of the authorized official. The second line mailing address of the provider Select ‘Yes’ if the EINs are the same, or select ‘No’ if the EINs are different. Provider Second Line Business Mailing Address. Provider First Line Business Practice Location Address. All rights reserved. Provider Business Practice Location Address State Name. Provider Second Line Business Mailing Address. The telephone number associated with the location address of the provider being identified. The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. Next. Next Previous. The first line location address of the provider being identified. Provider Business Mailing Address Fax Number. Read more at CMS.GOV The country code in the mailing address of the provider being identified. This data element may contain the same information as ''Provider first line location address''. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. Select Foreign Country in the state drop down box if the license was issued outside of United States. The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. Home PORTFOLIO Pharmacy . The country code in the mailing address of the provider being identified. Practice location: 11601 SHADOW CREEK PKWY # 111-139 PEARLAND TX 77584-7283 Provider Business Mailing Address Telephone Number. (3) A pharmacy fills prescriptions for patients whose physicians have prescribed medications for them and may also rent or sell durable medical equipment to patients whose physicians have ordered such equipment for them. By using our Services, you agree that www.HIPAASpace.com can use such data For a deactivated NPI, CMS will only disclose the deactivated NPI and the associated date of deactivation within the files. Provider Business Practice Location Address Fax Number. The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified. The 10-position telephone number of the authorized official. This data element may contain the same information as ''Provider location address postal code''. Provider Business Mailing Address State Name. The telephone number associated with mailing address of the provider being identified. The State or Province name in the mailing address of the provider being identified. 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO). The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. Provider Business Practice Location Address Telephone Number. It is a 250 bedded tertiary care teaching Hospital for Liaquat College of Medicine & Dentistry (LCMD). Pharmacy. If the organization is subpart of another organization then select the radio button ‘Yes’. View more Darul sehat private and executive wards 3 - healthcare . The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon.