OrganizationActive
Health and Human Services Commission
NPI 1235148255 · Long Term Care Pharmacy · Rusk, TX
Provider details
- NPI number
- 1235148255
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Amanda Faught, Pharmacist - Acting Pharmacy Direct(903) 683-7093
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
805 N Dickinson Dr # 318
Rusk, TX 75785
Phone: (903) 683-7170
Fax: (903) 683-7996
Street-level locationGet directions
Mailing address
Po Box 138
Rusk, TX 75785
Other names (DBA / former)
- Doing business as
- Rusk State Hospital Pharmacy
- Doing business as
- Rusk State Hospital Pharmacy
Registry dates
- Enumerated
- 2006-08-07
- Last updated
- 2021-10-21
- Certified
- 2021-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.