Healthcare Provider Details

I. General information

NPI: 1437350824
Provider Name (Legal Business Name): SMPE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 11/04/2022
Certification Date: 11/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 W MORTON ST STE. 121
DENISON TX
75020-1657
US

IV. Provider business mailing address

2309 CROCKETT CT
MCKINNEY TX
75070-9001
US

V. Phone/Fax

Practice location:
  • Phone: 903-463-6979
  • Fax: 903-463-6976
Mailing address:
  • Phone: 972-529-3534
  • Fax: 903-463-6976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number25559
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MRS. SUSAN CHRISTINE MILLER
Title or Position: PHARMACIST-IN-CHARGE
Credential: RPH
Phone: 972-207-3146