PHARMBLUE TEXAS LLC (NPI# 1154799336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154799336 |
| Entity Type | Organization |
| Organization Name | PHARMBLUE TEXAS LLC |
| Other Organization Name | PHARMBLUE TEXAS LLC |
| Practice Address |
1495 N 7th St Beaumont TX 77702-1345 |
| Mailing Address |
P. O. Box677949 Dallas TX 75267-7949 |
| Practice Telephone | 8009675020 |
| Practice Fax Number | 8448738760 |
| Mailing Telephone | 7247794720 |
| Mailing Fax Number | 7247794721 |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2017-03-23 |
| Authorized Official Name | MICHAEL NELSON (OWNER,CEO, AO) |
| Authorized Official Telephone | 7247794720 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
31190 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2160901 | 01 | |
| TX | 1154799336 | 05 |
| Other Name | Type Code |
|---|---|
| PharmBlue Texas LLC | Doing Business As Name - Organization |
| Street Address |
1495 N 7TH ST |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77702-1345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376584789 | Triangle Area Network Inc | Family Medicine | 1495 N 7th St, Ste 5, Beaumont, TX 77702-1301 | 2006-06-08 |
| 1366954935 | Jaimie Paulette Grimes | Nurse Practitioner | 1495 N 7th St, Beaumont, TX 77702-1345 | 2017-11-03 |
| 1821527284 | Myeisha Tane' Casmire Clifton | Nurse Practitioner | 1495 N 7th St, Beaumont, TX 77702-1345 | 2017-06-08 |
| 1740661248 | Mina F Tanaka | Internal Medicine | 1495 N 7th St, Beaumont, TX 77702-1345 | 2015-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346871134 | Anne Parker Chen | Psychologist | 2431 Liberty St., Beaumont, TX 77702 | 2020-01-30 |
| 1841715299 | Encounter Home Care, Inc. | Home Health | 990 I H 10 North, 225, Beaumont, TX 77702 | 2017-08-07 |
| 1962860023 | Jennifer Abney Bell | Nurse Practitioner | 3030 North St., Suite 510, Beaumont, TX 77702 | 2016-02-04 |
| 1720407687 | Jennifer Huff | Nurse Practitioner | 2980 Calder Ave, Beaumont, TX 77702 | 2014-04-08 |
| 1669894580 | Julie Christine Makdsi | Psychologist | 80 Interstate 10 N., Suite 205, Beaumont, TX 77702 | 2014-01-11 |
| 1437586682 | Lori Wenner | Registered Nurse | 2410 Harrison Street, Beaumont, TX 77702 | 2013-10-02 |
| 1548503311 | Robert J Grammatico | Emergency Medicine | 2830 Calder Ave., Beaumont, TX 77702 | 2013-03-30 |
| 1396084992 | Courtney Marie Guidry | Physician Assistant | 755 N 11th St Ste P5200, Beaumont, TX 77702 | 2013-02-04 |
| 1043524788 | Swarnalatha Devi Bathina | Dentist | 490 Ih-10, Suite 200, Beaumont, TX 77702 | 2010-08-05 |
| 1376798884 | Rehana Haq Javed | Pathology | Christus Hospital 2830 Calder St., Beaumont, TX 77702 | 2008-11-25 |
| Find all providers in zip 77702 | ||||
| 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 |
|---|---|---|---|---|
| 1427689058 | Muhib Mohammad | Pharmacy | 3590 College St, Beaumont, TX 77701-4614 | 2020-02-02 |
| 1487086401 | Csp Pharmacy Services LLC | Pharmacy | 490 Interstate 10 N Ste 400, Beaumont, TX 77702-1822 | 2013-08-01 |
| 1205991528 | Tri - X Drugs Inc | Pharmacy | 881 Highway 198, Beaumont, MS 39423-2070 | 2006-12-27 |
| 1609937770 | Retail Investors of Texas, Ltd. | Pharmacy | 3955 Phelan Blvd, Beaumont, TX 77707-2223 | 2006-12-13 |
| 1689740342 | Retail Investors of Texas, Ltd. | Pharmacy | 5960 Highway 105, Beaumont, TX 77708-3700 | 2006-11-27 |
| 1578651683 | Luparellos Corner Pharmacy LLC | Pharmacy | 3570 Fannett Rd, Beaumont, TX 77705-1365 | 2006-10-11 |
| 1447354279 | Cvs Pharmacy Inc | Pharmacy | 2950 Dowlen Rd, Beaumont, TX 77706-7226 | 2006-09-12 |
| 1982708798 | Cvs Pharmacy Inc | Pharmacy | 3595 College St, Beaumont, TX 77701-4615 | 2006-09-12 |
| 1942304746 | Cvs Pharmacy Inc | Pharmacy | 6850 Eastex Fwy, Beaumont, TX 77708-4317 | 2006-09-12 |
| 1639273469 | Cvs Pharmacy Inc | Pharmacy | 3890 Phelan Blvd, Beaumont, TX 77707-2247 | 2006-09-12 |
| Find all providers in BEAUMONT | ||||
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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.