Jennie Lam, PHARMD

Primary specialty

PharmacyTaxonomy code 333600000X

Practice address

1305 N Main St
Vidor, TX 77662-3726

Phone

(409) 769-1171

NPI assigned

Sep 12, 2022

Last updated

Sep 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Walgreens

  • Pharmacy
  • Vidor, TX
  • NPI 1396466215
  NPD Authorized official

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1053032797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 HIGHPOINT AVE",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777083652",
            "telephone_number": "832-443-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 N MAIN ST",
            "city": "VIDOR",
            "state": "TX",
            "postal_code": "776623726",
            "telephone_number": "409-769-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "JENNIE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalos Counseling and Diagnostics, PLLC
• Matilda Denise Kelley, BSN, RN, CLT
• Kelley's Karing Touch, LLC (Karing Touch - Complete Lymphatic Decongestive Therapy)
• Kids Therapy Set, LLC
• Melvin Kohn
• Shelley Landry
• Jerry Dwayne Leavins, DDS
• Morgan Nicole Lewallen, M.S. CCC-SLP
• Liberty County Hospital District No. 1 (Vidor Health & Rehabilitation Center)
• Taryn Danee Light, SPEECH-LANGUAGE PATH

• Pharmacy in Vidor, TX
• Providers in Vidor, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.