Service Provider Identifier
Pharmacy providers must submit the following fields on the claim transaction. Refer to the Claims Billing (B1) Transaction payer sheets for specific transaction, segment, and field requirements.
| Field Number | Field Name | Values | Usage |
|---|---|---|---|
| Service Provider ID Qualifier | 202-B2 | 01 = National Provider Identifier (NPI) | M |
| Service Provider ID | 201-B1 | 10-digit NPI | M |
The Pharmacy Search (txvendordrug.com/providers/pharmacy-search) provides name, address, program coverage, and other demographic information about all Medicaid-enrolled pharmacies.
HHSC updates the search weekly, usually every Monday morning. The data used in the search is also available for download as a delimited text file. Refer to the VDP Website Handbook for search instructions and information about the data.