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NPI 1144303264
● Active Type 2 · Organization
Grace Clinic Of Lubbock
Pharmacy · Lubbock, TX · NPI 1144303264
·
Enumerated 2006 · 19 years on NPI
Grace Clinic Of Lubbock is 1 of 5625 pharmacy organizations in Texas.
NPI age
19 years
Enumerated 2006-10-23
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Anderson
Assistant Secretary Of Enrollments
Last NPPES update
2025-05-09
Source: monthly bulk 2026-05
How this organization compares
Across 5625 active pharmacy providers in Texas.
NPI age
19 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2006 → 2026
2006-10 Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
4515 Marsha Sharp Fwy
Lubbock, TX 794072520
📞 8067403305 fax 8067121803
Mailing address
Po Box 676132
Dallas, TX 752676132
📞 8067403305 fax 8067121803
Authorized official
Donald Wayne Anderson
Assistant Secretary Of Enrollments
📞 4253589786
Individual providers at this organization
20 individual providers on file at this primary practice address.
Emad Ali , MD
Internal Medicine
NPI 1104251453
Charla Allen , M.D.
Family Medicine
NPI 1154688778
Sixtus Atabong , PA
Physician Assistant
NPI 1013987155
Mohammed Bakdash , M.D.
Internal Medicine
NPI 1629066964
Bradley Bale , MD
Family Medicine
NPI 1205912474
Judith Boomer , PA
Physician Assistant
NPI 1912960733
Hemmo Bosscher , M.D.
Pain Medicine
NPI 1780687517
Tammy Brewer
Pharmacist
NPI 1033447941
Jared Brinker , MD
Family Medicine
NPI 1053560250
Amie Brogden , FNP
Nurse Practitioner
NPI 1922470921
Ryan Bullard
Nurse Practitioner
NPI 1588075402
Duncan Burkholder , MD
Obstetrics & Gynecology
NPI 1467430405
Robert Carr , MD
Orthopaedic Surgery
NPI 1487658977
Travis Casler , MD
Orthopaedic Surgery
NPI 1104889948
Elizabeth Cobb , M.D.
Internal Medicine
NPI 1629261599
Christopher Collins , M.D.
Family Medicine
NPI 1932390960
Darlene Cornwell
Nurse Practitioner
NPI 1497094445
Cody Cox , M.D.
Radiology
NPI 1538163175
Chetlen Crossnoe
Family Medicine
NPI 1538115951
Douglas Cummins , M.D.
Surgery
NPI 1518941475
Specialties
Pharmacy
Primary
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the...
TX license #25283 taxonomy 3336C0003X
Identifiers
Type Value Notes
01
2099658
PK
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.