Robert Arden Redelspergen Jr., RPH DPH

Individual provider Active NPI Pharmacist · Gilmen, TX

NPI 1255324646 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1255324646
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
20244 (TX)
Practice address
East Texas Medical Center - Gilmen
Gilmen, TX 75644
Phone
(903) 841-7249
Fax
(903) 841-7252
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
20244TXMDHearing Instrument Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 20244 TX Yes

Addresses

Primary practice location

East Texas Medical Center - Gilmen
Gilmen, TX 75644

Mailing address

2159 Bluebell Rd
Gilmer, TX 75644-6027
Phone (903) 762-6687

Sources for this page

Verify at the official NPI Registry.