EASTTEXRX LLC (NPI# 1578866182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578866182 |
| Entity Type | Organization |
| Organization Name | EASTTEXRX LLC |
| Other Organization Name | WALKER PHARMACY |
| Practice Address |
402b W Upshur Gladewater TX 75647 |
| Practice Telephone | 9038452573 |
| Practice Fax Number | 9038452266 |
| Mailing Telephone | 9038452573 |
| Mailing Fax Number | 9038452266 |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2010-12-21 |
| Authorized Official Name | EDDIE GOODE (V.P. EASTTEXRX, LLC) |
| Authorized Official Telephone | 9038452573 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
27066 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 5902095 | 01 |
| Other Name | Type Code |
|---|---|
| Walker Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073051322 | Easttexrx LLC | Pharmacy | 3600 Gilmer Rd, Longview, TX 75604-1219 | 2017-02-07 |
| Street Address |
402B W UPSHUR |
| City | GLADEWATER |
| State | TX |
| Zip Code | 75647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316559321 | B &g Custom Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1088 Willow Oak Rd, Gladewater, TX 75647 | 2020-08-20 |
| 1518173285 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 2402 Woodbine, Gladwater, TX 75647 | 2007-05-16 |
| 1407921638 | Michael Ray Ellis | Dentist | 406 West Upshur Ave, Gladewater, TX 75647 | 2006-11-22 |
| 1811087356 | Walker Pharmacy | Pharmacy | 402 B W Upshur, Gladewater, TX 75647 | 2006-10-13 |
| 1508953399 | Legend Healthcare Gladewater, Lp | Skilled Nursing Facility | 1201 Fm 2685, Gladewater, TX 75647 | 2006-10-05 |
| 1720033517 | L-m-r Health Care Services Inc | Intermediate Care Facility, Mentally Retarded | 502 Tenery St, Gladewater, TX 75647 | 2006-05-23 |
| 1093172785 | Tracy Casey | Nurse Practitioner | 1600 Broadway Ave, Gladewater, TX 75647 | 2016-01-26 |
| 1851434237 | Union Grove Isd | Local Education Agency (LEA) | Old Hwy 271 S, Gladewater, TX 75647-1447 | 2007-02-15 |
| 1164957692 | Jolene Ackley | Private Vehicle | 500 W Marshall Ave, Gladewater, TX 75647-2110 | 2017-04-21 |
| 1518986959 | Juan Raul Zapata | Family Medicine | 307 W Upshur Ave, Gladewater, TX 75647-2121 | 2006-07-18 |
| Find all providers in zip 75647 | ||||
| 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 |
|---|---|---|---|---|
| 1811087356 | Walker Pharmacy | Pharmacy | 402 B W Upshur, Gladewater, TX 75647 | 2006-10-13 |
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|---|---|---|---|---|
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| 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 | ||||
| City | GLADEWATER |
| Zip Code | 75647 |
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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.