Individual provider Active NPI

Bryan Githumbi, RPH

  • Pharmacist
  • Beaumont, TX
National Provider Identifier
1265026496
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
63170 Issued in TX
Practice address
3605 College St
Beaumont, TX 77701-4617
Phone
(409) 832-7374
NPI assigned
Feb 28, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 63170 TX Primary

Addresses

Primary practice location

3605 College St
Beaumont, TX 77701-4617

Mailing address

8066 Indian Blanket
Beaumont, TX 77713-8575
Phone (409) 842-3222

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
63170TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Luparellos Corner Pharmacy LLC PastSince Feb 12, 2023 Accepting new patients
Luparellos Corner Pharmacy LLC PastSince Mar 1, 2021 Accepting new patients
Walgreen Co PastSince Mar 5, 2023 Accepting new patients
Walgreen Co PastSince Mar 5, 2023 Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1614470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1265026496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8066 INDIAN BLANKET",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777138575",
            "telephone_number": "409-842-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 COLLEGE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014617",
            "telephone_number": "409-832-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITHUMBI",
        "first_name": "BRYAN",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-28",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "63170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.