Organization
ONCOLOGY PHARMACY SERVICES , INC.
Active
Other names
Texas Oncology Pharmacy - El Paso Grandview
Organization subpart
No
Provider details
NPI number
Authorized official
TODD KEVIN BIVONA (SR. REVENUE CYCLE MANAGER)
(214) 794-5388
Entity
Organization
Contact information
Practice address
1901 GRANDVIEW AVE, EL PASO, TX 79902-5113
(915) 747-4840
(915) 532-7116
Mailing address
PO BOX 731145, DALLAS, TX 75373-1145
(972) 997-8103
(469) 467-2535
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
16612
TX
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152460501
—
TX
01
—
16612
CLASS A LIC
TX
01
—
350176
TX VENDOR DRUG
TX
01
—
35750
TEXAS BOARD OF PHARMACY
TX
01
—
4595003
NCPDP
TX
Enumeration date
06/21/2006
Last updated
06/10/2025
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