NPI 1073569034 · live from the CMS NPI Registry
Accredo Health Group INC
Pharmacy in Irving, TX. National Provider Identifier 1073569034, active.
NPI record
| NPI | 1073569034 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy 333600000X |
| Practice location | 4343 W Royal Ln, Ste 124, Irving, TX 75063 |
| Practice phone | 972-929-6800 |
| Mailing address | Po Box 954041, Saint Louis, MO 63195 |
| Enumerated | May 25, 2006 |
| Last updated | December 5, 2025 |
| Authorized official | Vic Perini, Assistant Secretary |
| Other names | Accredo Health Group INC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — |
| Pharmacy, Home Infusion Therapy Pharmacy | 3336H0001X | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy, Specialty Pharmacy | 3336S0011X | — |
| Pharmacy primary | 333600000X | 22254 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.