Active NPI
Lifechek Conroe Partners LTD
Doing business as Lifechek
- Community/Retail Pharmacy
- Port Arthur, TX
National Provider Identifier
1053426254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 23766
- Legal business name
- LIFECHEK CONROE PARTNERS LTD
- Doing business as
- Lifechek
- Practice address
- 3701 Gulfway Dr
Port Arthur, TX 77642-2829 - Phone
- (409) 982-9977
- Fax
- (409) 982-2318
- NPI assigned
- Aug 20, 2006
- Last updated
- Sep 14, 2009
- Organization subpart
- Yes
- Parent organization
- LIFECHEK AUCHAN PARTNERS LTD
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandra Scott
- Title
- Training and Dvlpmnt Specialst
- Phone
- (832) 646-5119
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | 23766 | TX | Primary |
Addresses
Primary practice location
3701 Gulfway Dr
Port Arthur, TX 77642-2829
Mailing address
1316 7TH St
Rosenberg, TX 77471-3531
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 466107 | Medicaid | TX | |
| 4581383 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- LIFECHEK
National Provider Directory
National Provider Directory- Part of
- Lifechek Auchan LP
Locations
3000 W Davis St
Ste 4
Conroe, TX 77304
Phone (936) 539-2812
3701 Gulfway Dr
Port Arthur, TX 77642
Phone (409) 982-9977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252886400000",
"number": "1053426254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1316 7TH ST",
"city": "ROSENBERG",
"state": "TX",
"postal_code": "774713531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 GULFWAY DR",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776422829",
"telephone_number": "409-982-9977",
"fax_number": "409-982-2318"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFECHEK CONROE PARTNERS LTD",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LIFECHEK AUCHAN PARTNERS LTD",
"enumeration_date": "2006-08-20",
"last_updated": "2009-09-14",
"status": "A",
"authorized_official_last_name": "SCOTT",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "TRAINING AND DVLPMNT SPECIALST",
"authorized_official_telephone_number": "832-646-5119"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "23766",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "466107",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "4581383",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LIFECHEK",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Port Arthur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.