GOOSE CREEK PHARMACY LLC (NPI# 1104370659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104370659 |
| Entity Type | Organization |
| Organization Name | GOOSE CREEK PHARMACY LLC |
| Other Organization Name | GOOSE CREEK PHARMACY |
| Practice Address |
2007 N Main St Baytown TX 77520-2746 |
| Practice Telephone | 2818388640 |
| Practice Fax Number | 2816287970 |
| Mailing Telephone | 2818388640 |
| Mailing Fax Number | 2816287970 |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | JEFFREY TERRY (PIC/SOLE OWNER/AO) |
| Authorized Official Telephone | 2818388640 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
30867 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2162475 | 01 | |
| TX | 149527 | 05 |
| Other Name | Type Code |
|---|---|
| Goose Creek Pharmacy | Doing Business As Name - Organization |
| Street Address |
2007 N MAIN ST |
| City | BAYTOWN |
| State | TX |
| Zip Code | 77520-2746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912042540 | Jeffrey Scott Terry | Pharmacy | 2007 N Main St, Baytown, TX 77520-2746 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841824828 | Stacy Duhe Jefferson | Counselor | 1009 Polly Ave., Baytown, TX 77520 | 2020-02-27 |
| 1194383745 | Keith A. Coburn | Dentist | 1224 Kilgore Rd., Baytown, TX 77520 | 2019-05-30 |
| 1427530856 | Domenique Roszette Gee | Specialist/Technologist | 2500 Market Street, Baytown, TX 77520 | 2018-09-01 |
| 1558793323 | Sasan Yadollahibastani | Dentist | 1105 E. James Ave., Baytown, TX 77520 | 2013-08-05 |
| 1346581931 | Trudy B Istre | Nurse Practitioner | 2610 N. Alexander Dr. Suite 201, Baytown, TX 77520 | 2013-03-07 |
| 1871816272 | Hyacynthia Mary Leonce-james | Counselor | 1610 James Bowie, Suite B108, Baytown, TX 77520 | 2010-03-12 |
| 1457507444 | Harbor Hospice of Baytown, Lp | Hospice Care, Community Based | 1610 James Bowie Dr., Suite D-111, Baytown, TX 77520 | 2008-08-11 |
| 1790982551 | Gregory Thomas Laliberte | Counselor | 401 West Texas Avenue, Cease Addiction Office, Baytown, TX 77520 | 2007-06-27 |
| 1942406012 | David Clayton Shaw | Occupational Therapy Assistant | 1145 Park St, Baytown, TX 77520 | 2007-06-25 |
| 1003943655 | Steven S Coggins Md | Anesthesiology | 9042 Northpoint Dr, Baytown, TX 77520 | 2007-02-28 |
| Find all providers in zip 77520 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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 dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790200137 | Goodcare Pharmacy, LLC | Pharmacy | 4537 Garth Rd Ste 103, Baytown, TX 77521-2147 | 2017-08-07 |
| 1104148691 | Gr Cure | Pharmacy | 1658 W Baker Rd, Suite# C, Baytown, TX 77521-2283 | 2010-02-24 |
| 1649304189 | Md Pharmacy | Pharmacy | 11540 Eagle Dr, Ste A, Baytown, TX 77523-7653 | 2007-03-15 |
| 1245395672 | Woodlawn Pharmaceutical Group Inc | Pharmacy | 2215 Rollingbrook Drive, Ste 120a, Baytown, TX 77521 | 2006-12-26 |
| 1750488151 | Cvs Pharmacy Inc | Pharmacy | 2001 Garth Rd, Baytown, TX 77520-2472 | 2006-09-20 |
| 1497859219 | Cvs Pharmacy Inc | Pharmacy | 3923 Garth Rd, Baytown, TX 77521-3105 | 2006-09-12 |
| 1831293653 | Cvs Pharmacy Inc | Pharmacy | 1514 N Alexander Dr, Baytown, TX 77520-5322 | 2006-09-12 |
| 1710256045 | Texas Verve Enterprises | Pharmacy | 3517 N Main St, Suite 1, Baytown, TX 77521-4117 | 2011-12-15 |
| 1306990759 | Phu Huu Nguyen Pharmd PC | Pharmacy | 3007 Garth Rd, Baytown, TX 77521-3946 | 2007-01-23 |
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| 1356942767 | Rxassist Pharmacy, Inc. | Pharmacy | 17020 Beaver Springs Dr Ste 8, Houston, TX 77090-2398 | 2020-11-03 |
| 1154921864 | Mbepe Health LLC | Pharmacy | 301 S 9th St Ste 121, Richmond, TX 77469-3448 | 2020-10-30 |
| 1639779366 | Mens African Investors | Pharmacy | 6355 S Peek Rd Ste 300, Katy, TX 77450-7195 | 2020-10-30 |
| 1861091977 | A Medizona Pharmacy | Pharmacy | 3700 Barker Cypress Rd, Suite 700, Houston, TX 77084 | 2020-10-20 |
| 1952900078 | Nudo Pharmacy LLC | Pharmacy | 104 Industrial Blvd Ste 201, Sugar Land, TX 77478-3174 | 2020-10-20 |
| 1194324277 | Rite Scripts Pharmacy Inc | Pharmacy | 13835 Westhollow Park Dr Apt 2805, Houston, TX 77082-1885 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.