Organization Active NPI

Lifechek Magnolia Partners LTD

Doing business as Lifechek

  • Community/Retail Pharmacy
  • Bellville, TX
National Provider Identifier
1073730172
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
25498 Issued in TX
Legal business name
LIFECHEK MAGNOLIA PARTNERS LTD
Doing business as
Lifechek
Practice address
308 W Main St
Bellville, TX 77418-1353
Phone
(979) 865-3686
Fax
(979) 865-5220
NPI assigned
Apr 19, 2007
Last updated
Sep 24, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
LIFECHEK AUCHAN PARTNERS LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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

Authorized official

Name
Bruce Gingrich
Title
Owner/President
Phone
(281) 232-3940

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 25498 TX Primary

Addresses

Primary practice location

308 W Main St
Bellville, TX 77418-1353

Mailing address

1316 7TH St
Rosenberg, TX 77471-3531
Phone (281) 232-3940

Other identifiers 2

IdentifierTypeStateIssuer
4544652OtherNCPDP PROVIDER IDENTIFICATION NUMBER
141189MedicaidTX

Other names 1

  • LIFECHEK Doing business as

National Provider Directory

National Provider Directory
Part of
Lifechek Auchan LP

Locations

308 W Main St
Bellville, TX 77418
Phone (979) 865-3686

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1073730172",
    "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",
            "telephone_number": "281-232-3940",
            "fax_number": "832-595-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W MAIN ST",
            "city": "BELLVILLE",
            "state": "TX",
            "postal_code": "774181353",
            "telephone_number": "979-865-3686",
            "fax_number": "979-865-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECHEK MAGNOLIA PARTNERS LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFECHEK AUCHAN PARTNERS LTD",
        "enumeration_date": "2007-04-19",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "GINGRICH",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "281-232-3940"
    },
    "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": "25498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4544652",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141189",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFECHEK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.

Verify at the official NPI Registry.