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 ( 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.