Organization Active NPI

Donald J. Meyers

  • Community/Retail Pharmacy
  • Tyler, TX
National Provider Identifier
1003867672
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
16191 Issued in TX
Legal business name
DONALD J. MEYERS
Practice address
1863 Troup Hwy
Tyler, TX 75701-5871
Phone
(903) 595-3737
Fax
(903) 595-3739
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Donald J. Meyers, RPH
Title
Registered Pharmacist/Owner
Phone
(903) 595-3737

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 16191 TX Primary
Prosthetic/Orthotic Supplier 335E00000X CFO01859 TX

Addresses

Primary practice location

1863 Troup Hwy
Tyler, TX 75701-5871

Mailing address

PO Box 130364
Tyler, TX 75713-0364
Phone (903) 595-3737

Other identifiers 1

IdentifierTypeStateIssuer
144179MedicaidTX

Other names 1

  • Craig Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1863 Troup Hwy
Tyler, TX 75701
Phone (903) 595-3737

1406 S Fleishel Ave
#A
Tyler, TX 75701
Phone (903) 595-3737

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1003867672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130364",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757130364",
            "telephone_number": "903-595-3737",
            "fax_number": "903-595-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1863 TROUP HWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757015871",
            "telephone_number": "903-595-3737",
            "fax_number": "903-595-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD J. MEYERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "REGISTERED PHARMACIST/OWNER",
        "authorized_official_telephone_number": "903-595-3737",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "16191",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "CFO01859",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144179",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Craig Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Craig Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.