Organization Active NPI

LMR Wester St Pharmacy

Doing business as Medical Center Pharmacy

  • Community/Retail Pharmacy
  • Lufkin, TX
National Provider Identifier
1023414877
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
29522 Issued in TX
Legal business name
LMR WESTER ST PHARMACY
Doing business as
Medical Center Pharmacy
Practice address
511 Gaslight Blvd
Lufkin, TX 75904-3127
Phone
(936) 632-3833
Fax
(936) 632-2832
NPI assigned
Nov 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Authorized official

Name
Jilani Asim
Title
Officer
Phone
(936) 632-3833

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 29522 TX Primary
Compounding Pharmacy 3336C0004X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

511 Gaslight Blvd
Lufkin, TX 75904-3127

Mailing address

511 Gaslight Blvd
Lufkin, TX 75904-3127
Phone (936) 632-3833

Other identifiers 1

IdentifierTypeStateIssuer
2148596OtherPK

Other names 1

  • Medical Center Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
LMR Webster Street Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

511 Gaslight Blvd
Lufkin, TX 75904
Phone (409) 637-3808

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1023414877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043127",
            "telephone_number": "936-632-3833",
            "fax_number": "936-632-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043127",
            "telephone_number": "936-632-3833",
            "fax_number": "936-632-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LMR WESTER ST PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "ASIM",
        "authorized_official_first_name": "JILANI",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "936-632-3833"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29522",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148596",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.