Organization
JIM B SPEARS, INC.
Active
Other names
FAMILY PHARMACY, VITAL CARE OF VERNON
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY J SPEARS (PRESIDENT)
(940) 552-2999
Entity
Organization
Contact information
Practice address
1720 HILLCREST DR, VERNON, TX 76384-4099
(940) 552-2999
(940) 552-5347
Mailing address
1720 HILLCREST DR, VERNON, TX 76384-4099
(940) 552-2999
(940) 552-5347
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
16832
TX
332BC3200X
Customized Equipment (DME)
16832
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
16832
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
16832
TX
333600000X
Pharmacy
16832
TX
3336C0003X
Community/Retail Pharmacy
16832
TX
3336H0001X
Home Infusion Therapy Pharmacy
16832
TX
3336L0003X
Long Term Care Pharmacy
16832
TX
3336M0002X
Mail Order Pharmacy
16832
TX
3336S0011X
Specialty Pharmacy
16832
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000506809
BCBS, CROSSOVER
TX
05
—
0167199-04
—
TX
05
—
016719902
—
TX
05
—
100814040A
—
OK
05
—
100814040B
—
OK
05
—
148171
—
TX
01
—
261308
LOCAL MEDICARE PART B
TX
Enumeration date
07/31/2006
Last updated
05/20/2024
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