Brickstreet Long Term Care, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

29024 Issued in TX

Legal business name

BRICKSTREET LONG TERM CARE, LLC

Practice address

312 W Rusk St
Suite B
Tyler, TX 75701-1513

Phone

(903) 533-8157

NPI assigned

Feb 13, 2014

Organization subpart

No

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

Authorized official

Name

Jeffrey V Abeldt, RPH

Title

Pic/Owner

Phone

(903) 533-8157

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1104240068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 W RUSK ST",
            "address_2": "SUITE B",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011513",
            "telephone_number": "903-533-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W RUSK ST",
            "address_2": "SUITE B",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011513",
            "telephone_number": "903-533-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRICKSTREET LONG TERM CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-13",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "ABELDT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PIC/OWNER",
        "authorized_official_telephone_number": "903-533-8157",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "29024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonieh Brewer
• Brian Pfeiffer MD PA
• Suzanne Brians, MS
• Brick Street Dental, PLLC
• David A Brickey, DO
• Bridge Therapeutic Services PLLC
• Angela Lea Bridges, NP
• Courtney Bridges
• Jaime Bridges
• Jessica Bridges

• Long Term Care Pharmacy in Tyler, TX
• Providers in Tyler, TX by specialty
• Long Term Care Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.