PRINCIPLE PHARMACY LLC (NPI# 1366941031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366941031 |
| Entity Type | Organization |
| Organization Name | PRINCIPLE PHARMACY LLC |
| Other Organization Name | PRINCIPLE PHARMACY, LLC |
| Practice Address |
87 Interstate 10 N Ste 125 Beaumont TX 77707-2548 |
| Mailing Address |
16840 Buccaneer Ln Suite 299 Houston TX 77058-2507 |
| Practice Telephone | 8328020735 |
| Practice Fax Number | 8322715333 |
| Mailing Telephone | 8328020735 |
| Mailing Fax Number | 8322715333 |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2018-10-15 |
| Authorized Official Name | BLAKE WERNER (OWNER) |
| Authorized Official Telephone | 8325498355 |
| 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 |
31814 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2175611 | 01 |
| Other Name | Type Code |
|---|---|
| Principle Pharmacy, LLC | Doing Business As Name - Organization |
| Street Address |
87 INTERSTATE 10 N STE 125 |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77707-2548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437718004 | Kelsey Marie Burt | Speech-Language Pathologist | 87 I-10, Beaumont, TX 77707 | 2019-06-07 |
| 1245898808 | Primary Care Anywhere, Pllc | Nurse Practitioner | 4347 Phelan, Suite 101, Beaumont, TX 77707 | 2019-05-30 |
| 1598321663 | Kacy Keitha Priddy | Occupational Therapist | 1846 I-10 S, Suite 102, Beaumont, TX 77707 | 2019-05-14 |
| 1144791963 | Jeffery Ray Manzer | Counselor | 3350 Dowlen Rd Suite J, Beaumont, TX 77707 | 2018-12-06 |
| 1497247217 | Haley Hebert | Speech-Language Pathologist | 87 I 10 N, Suite 225, Beaumont, TX 77707 | 2018-06-06 |
| 1548712383 | Taylor Miguez | Speech-Language Pathologist | 87 I-10 Frontage Rd #225, Beaumont, TX 77707 | 2016-10-27 |
| 1720534043 | Jacie Woodson | Speech-Language Pathologist | 87 I-10 Frontage Rd. 225, Beaumont, TX 77707 | 2016-08-28 |
| 1285187047 | Paula Boudreaux | Speech-Language Pathologist | 87 I-10 Frontage Rd, Suite 225, Beaumont, TX 77707 | 2016-07-28 |
| 1790138568 | Meagan Alyse Hartwick | Speech-Language Pathologist | 87 I-10 Frontage Rd., 225, Beaumont, TX 77707 | 2016-07-18 |
| 1376992578 | Laurie Lynette Jansky | Family Medicine | 3650 Laurel Ave, Beaumont, TX 77707 | 2016-06-08 |
| Find all providers in zip 77707 | ||||
| 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.