CAREY PROSPERIE PHARMACY INC (NPI# 1730224361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730224361 |
| Entity Type | Organization |
| Organization Name | CAREY PROSPERIE PHARMACY INC |
| Other Organization Name | MEDICINE SHOPPE |
| Practice Address |
2119 E 5th St Tyler TX 75701-3515 |
| Practice Telephone | 9035973383 |
| Practice Fax Number | 9035972129 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-06-27 |
| Authorized Official Name | DENA FERMAN (THIRD PARTY PLAN COORDINATOR) |
| Authorized Official Telephone | 3149936000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
13550 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER | 4580367 | 01 | |
| TX | 4580367 | 05 |
| Other Name | Type Code |
|---|---|
| MEDICINE SHOPPE | Doing Business As Name - Organization |
| Street Address |
2119 E 5TH ST |
| City | TYLER |
| State | TX |
| Zip Code | 75701-3515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639269442 | James Carey Prosperie | Pharmacist | 2119 E 5th St, Tyler, TX 75701-3515 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| 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 |
|---|---|---|---|---|
| 1508485871 | Tyler Carerx LLC | Pharmacy | 1007 E 2nd St, Tyler, TX 75701-3312 | 2020-04-15 |
| 1225498991 | Savrx Pharmacy, Inc | Pharmacy | 6100 S. Broadway Ave, Suite 160, Tyler, TX 75703 | 2016-02-24 |
| 1043684228 | Fred's Stores of Tennessee Inc. | Pharmacy | 1803 E Gentry Pkwy, Tyler, TX 75702-3564 | 2015-11-25 |
| 1962874602 | Brookshire Grocery Company | Pharmacy | 172 Centennial Pkwy, Tyler, TX 75703 | 2015-10-21 |
| 1619143732 | Brookshire Grocery Company | Pharmacy | 1600 Wsw Loop 323, Tyler, TX 75701-8532 | 2008-05-08 |
| 1750485587 | Cvs Pharmacy Inc | Pharmacy | 4922 S Broadway Ave, Tyler, TX 75703-1324 | 2006-09-12 |
| 1235243221 | Majors Pharmacy Inc | Pharmacy | 108 Shelley Dr, Tyler, TX 75701-8723 | 2006-08-18 |
| 1700808458 | Cvs Pharmacy Inc | Pharmacy | 7003 S Broadway Ave, Tyler, TX 75703-4737 | 2006-07-24 |
| 1356955587 | American Specialty Pharmacy Inc | Pharmacy | 1109 E 5th St, Tyler, TX 75701-3318 | 2020-09-04 |
| 1336751270 | Stephenson Pharmacy, LLC | Pharmacy | 1000 S Fleishel Ave, Tyler, TX 75701-2037 | 2020-08-21 |
| Find all providers in TYLER | ||||
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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.