MR. WILLIAM BRUCE TARVER (NPI# 1871155150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871155150 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM BRUCE TARVER |
| Credential | R.PH. |
| Practice Address |
3955 Phelan Blvd Beaumont TX 77707-2223 |
| Practice Telephone | 4098331298 |
| Mailing Telephone | 4098331298 |
| Mailing Fax Number | 4098331667 |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 19459 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922126960 | William Joe Tarver | Preventive Medicine | 2101 Nasa Pkwy, Sd-13, Houston, TX 77058-3607 | 2007-03-27 |
| Street Address |
3955 PHELAN BLVD |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77707-2223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609937770 | Retail Investors of Texas, Ltd. | Pharmacy | 3955 Phelan Blvd, Beaumont, TX 77707-2223 | 2006-12-13 |
| 1427606789 | Brittany Nicole Pina | Pharmacy Technician | 3955 Phelan Blvd, Beaumont, TX 77707-2223 | 2019-08-29 |
| 1942858741 | Latrisha Ann Johnson | Pharmacy Technician | 3955 Phelan Blvd, Beaumont, TX 77707-2223 | 2019-08-27 |
| 1134777980 | Kristina Ann Knowles | Pharmacy Technician | 3955 Phelan Blvd, Beaumont, TX 77707-2223 | 2019-08-26 |
| 1417504333 | Terri Lynn Moye | Pharmacy Technician | 3955 Phelan Blvd, Beaumont, TX 77707-2223 | 2019-08-26 |
| 1013569292 | Jerry Lynn Philmon | Pharmacist | 3955 Phelan Blvd, Beaumont, TX 77707-2223 | 2019-07-09 |
| 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 | 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 |
|---|---|---|---|---|
| 1518568096 | Laura M Alli | Pharmacist | 5350 Old Dowlen Rd Apt 923, Beaumont, TX 77706-6642 | 2020-11-02 |
| 1104468271 | Trey Crandall | Pharmacist | 4225 Gladys Ave Ste B, Beaumont, TX 77706-3644 | 2019-10-10 |
| 1619470499 | Mariana Mourad | Pharmacist | 6325 Tulip Dr, Beaumont, TX 77706-5533 | 2018-03-17 |
| 1811361462 | Azuka Ginigeme | Pharmacist | 3605 College Street, Walgreens Pharmacy, Beaumont, TX 77701 | 2015-11-19 |
| 1427422138 | Endalkachew Adane Alebachew | Pharmacist | 5995 W Windemere St, Beaumont, TX 77713-3431 | 2015-11-18 |
| 1295132561 | Daniel Negusse | Pharmacist | 3885 N Dowlen Road, Beaumont, TX 77706-6604 | 2014-12-02 |
| 1710300975 | Gregory M Magare | Pharmacist | 4550 N Major Dr, Beaumont, TX 77713-8587 | 2014-01-23 |
| 1194162909 | Hezron Omanga | Pharmacist | 3585 N. Dowlen Road, Beaumont, TX 77706 | 2013-06-03 |
| 1104269752 | Imadeddin Karaze | Pharmacist | 1680 E 6th St, Ste A, Beaumont, CA 92223-5756 | 2013-04-14 |
| 1679819114 | Fahed Omar Al Nabki | Pharmacist | 3885 N. Dowlen Rd., Beaumont, TX 77706 | 2013-01-02 |
| 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.