MR. GREYDON G BALDWIN JR. (NPI# 1104138296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104138296 |
| Entity Type | Individual |
| Full Name | MR. GREYDON G BALDWIN JR. |
| Credential | R.PH. |
| Practice Address |
1790 Texas Ave Bridge City TX 77611-3531 |
| Practice Telephone | 4097920597 |
| Practice Fax Number | 4097920052 |
| Mailing Telephone | 4097920597 |
| Mailing Fax Number | 4097920052 |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2010-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 23481 | TX | Pharmacy Service Providers |
| Street Address |
1790 TEXAS AVE |
| City | BRIDGE CITY |
| State | TX |
| Zip Code | 77611-3531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598914616 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1790 Texas Ave, Bridge City, TX 77611-3531 | 2008-09-12 |
| 1336661800 | Christopher Wilson | Pharmacist | 1790 Texas Ave, Bridge City, TX 77611-3531 | 2017-07-17 |
| 1295047637 | Wilbur Nichols | Pharmacist | 1790 Texas Ave, Bridge City, TX 77611-3531 | 2010-07-13 |
| 1386956910 | Obinna I Ifeadike | Pharmacist | 1790 Texas Ave, Bridge City, TX 77611-3531 | 2010-07-12 |
| 1790013753 | Jennifer L Wueller | Pharmacist | 1790 Texas Ave, Bridge City, TX 77611-3531 | 2009-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427550730 | Lan Thi Pham | Licensed Vocational Nurse | 840 Delaware Dr, Bridge City, TX 77611 | 2018-03-02 |
| 1548716442 | Sara L. Lewis, Csfa, LLC | Physician Assistant | 820 W Round Bunch Rd, Bridge City, TX 77611 | 2016-08-30 |
| 1417382664 | John A Peterson | Nurse Practitioner | 610 Stickland, Suite 320, Orange, TX 77611 | 2013-09-06 |
| 1407144363 | Yooshun Chung | Student in an Organized Health Care Education/Training Program | 1860 Texas Avenue, Bridge City, TX 77611 | 2011-07-13 |
| 1063588796 | Daniel A Crain | Family Medicine | 960 W Roundbunch Rd, Bridge City, TX 77611 | 2006-11-27 |
| 1144233388 | Jerry R Stone | Pharmacist | 1160 Texas Ave, Bridge City, TX 77611 | 2006-08-15 |
| 1679587034 | Scott Ballard | Chiropractor | 2158 Texas Avenue, Bridge City, TX 77611 | 2006-07-28 |
| 1457809907 | Sara Lewis | Physician Assistant | 820 W Round Bunch Rd, Bridge City, TX 77611 | 2016-09-13 |
| 1093165870 | April Cockerham | Nurse Practitioner | 179 Tiger Lily St, Bridge City, TX 77611-2223 | 2016-06-13 |
| 1053736652 | Golden Triangle First Assisting, Pllc | Registered Nurse | 825 Carolina Dr, Bridge City, TX 77611-2309 | 2014-02-19 |
| Find all providers in zip 77611 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144233388 | Jerry R Stone | Pharmacist | 1160 Texas Ave, Bridge City, TX 77611 | 2006-08-15 |
| 1174124671 | Christopher Wagner | Pharmacist | 795 Texas Ave, Bridge City, TX 77611-4227 | 2020-11-03 |
| 1336661800 | Christopher Wilson | Pharmacist | 1790 Texas Ave, Bridge City, TX 77611-3531 | 2017-07-17 |
| 1295047637 | Wilbur Nichols | Pharmacist | 1790 Texas Ave, Bridge City, TX 77611-3531 | 2010-07-13 |
| 1386956910 | Obinna I Ifeadike | Pharmacist | 1790 Texas Ave, Bridge City, TX 77611-3531 | 2010-07-12 |
| 1790013753 | Jennifer L Wueller | Pharmacist | 1790 Texas Ave, Bridge City, TX 77611-3531 | 2009-12-02 |
| 1154416758 | King's Pharmacy | Pharmacist | 1160 Texas Ave, Bridge City, TX 77630 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316754 | Shari Diane Mcdaniel | Pharmacist | 13300 Bugatti Dr, Frisco, TX 75033-0918 | 2020-11-07 |
| 1023619871 | Rhonda Reynolds | Pharmacist | 141 I45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1669073433 | Josephine S Asamoah | Pharmacist | 3820 Tx-64, Tyler, TX 75704-5582 | 2020-11-06 |
| 1104427848 | Isaiah Obioha | Pharmacist | 911 Nikki Dr, Cedar Hill, TX 75104-7355 | 2020-11-06 |
| 1033710876 | Vy Ngoc Tran | Pharmacist | 3726 Varna Ct, Missouri City, TX 77459-5510 | 2020-11-06 |
| 1912508748 | James E Branch | Pharmacist | 1565 Salado Trl, Weatherford, TX 76087-2162 | 2020-11-06 |
| 1902407794 | Tristan Elliston | Pharmacist | 145 Interstate 45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1033710967 | Paul V Crawford | Pharmacist | 13 Thornhill Oaks Dr, Houston, TX 77015-2059 | 2020-11-06 |
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1790386738 | Jennifer O Jackson | Pharmacist | 1900 Ese Loop323, Tyler, TX 75701-8337 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGE CITY |
| Zip Code | 77611 |
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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.