Ocean Blue Holdings, LLC
NPI 1104307065 · Clinic/Center · Burleson, TX
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ocean Blue Holdings, LLC is a Clinic/Center organization in Burleson, TX (NPI 1104307065).
Provider details
- NPI number
- 1104307065
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Renukaben Patel, Officer(856) 873-3826
Specialties & taxonomies
Ambulatory Health Care Facilities
- Pharmacy333600000X
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
- Specialty Pharmacy3336S0011X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Johnson Pharmacy
- Doing business as
- Texas Health Rx Pharmacy
Additional practice locations (1)
- 113 Ne Johnson Ave Ste 300Burleson, TX 76028-4139Phone: (817) 789-4099Fax: (800) 616-4641
Registry dates
- Enumerated
- 2018-08-28
- Last updated
- 2024-09-11
- Certified
- 2024-09-11
Frequently asked questions
- What is Ocean Blue Holdings, LLC's NPI number?
- Ocean Blue Holdings, LLC's National Provider Identifier (NPI) is 1104307065, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ocean Blue Holdings, LLC?
- Ocean Blue Holdings, LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ocean Blue Holdings, LLC located?
- Ocean Blue Holdings, LLC's practice location on file with NPPES is 12333 Bear Plz Ste 100, Burleson, TX 76028-0284.
- What is Ocean Blue Holdings, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ocean Blue Holdings, LLC is (817) 789-4099.
- Does Ocean Blue Holdings, LLC accept Medicare?
- Ocean Blue Holdings, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ocean Blue Holdings, LLC?
- The authorized official listed on Ocean Blue Holdings, LLC's NPPES record is Renukaben Patel, Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ocean Blue Holdings, LLC's NPI active?
- Yes — Ocean Blue Holdings, LLC's NPI (1104307065) is active in the NPPES registry as of the last update on 2024-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.