Hervey & Bethard Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1373 Issued in TX

Legal business name

HERVEY & BETHARD INC.

Doing business as

dba Louis Morgan Drug #1

Practice address

1900 S. High St.
Longview, TX 75602

Phone

(903) 758-8286

Fax

(903) 758-2728

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Cheryl Diane Gilliam, RPHNPI 1558369850

Title

Pharmacist/Owner

Phone

(903) 758-8286

Specialties & licenses 6

Addresses

Other identifiers 3

Other names 1

• dba Louis Morgan Drug #1 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Dba Louis Morgan Drug 12 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Hervey & Bethard Inc.

  • Long Term Care Pharmacy
  • Longview, TX
  • NPI 1760107403
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cheryl Diane Gilliam, R.PH.

  • Pharmacist
  • Longview, TX
  • NPI 1558369850
  NPD Authorized official
• Yolanda Patricia Bunce, R.PH.

  • Pharmacist
  • Longview, TX
  • NPI 1396299715
  NPD (past)
• Jeffery Michael Stowers, PHARMD

  • Pharmacist
  • Longview, TX
  • NPI 1063748796
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1033202700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S. HIGH ST.",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "75602",
            "telephone_number": "903-758-8286",
            "fax_number": "903-758-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S. HIGH ST.",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "75602",
            "telephone_number": "903-758-8286",
            "fax_number": "903-758-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERVEY & BETHARD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "GILLIAM",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "903-758-8286",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "01373",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1373",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "01373",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "1373",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "01373",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "1373",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148388",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER ID",
            "identifier": "4525753",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120579",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Louis Morgan Drug #1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eileen B Herbeck, R.PH.
• Gregory E Herbeck, MD
• Matthew David Hermansen, D.O., PHARMD
• Sally Herring, APRN
• Lisa Herterich, APRN, PMHNP-BC
• Hervey & Bethard Inc.
• Brittany Lin Hess
• Christy Hester
• Kamri Hickerson, MPAS, PA-C
• Hickory Longview LLC

• Community/Retail Pharmacy in Longview, TX
• Providers in Longview, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.