Organization
CENTERWELL PHARMACY, INC.
Active
Other names
Humana Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN LYSINGER (VP)
(502) 580-2376
Entity
Organization
Contact information
Practice address
12602 TOEPPERWEIN RD, SUITE 100, LIVE OAK, TX 78233-3269
(210) 672-6510
Mailing address
12602 TOEPPERWEIN RD, SUITE 100, LIVE OAK, TX 78233-3269
(210) 672-6510
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
30954
TX
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2162396
PK
—
Enumeration date
08/05/2016
Last updated
05/06/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us