Organization Active NPI

Donald J. Meyers

Doing business as Craig Pharmacy

  • Long Term Care Pharmacy
  • Tyler, TX
National Provider Identifier
1295373405
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
DONALD J. MEYERS
Doing business as
Craig Pharmacy
Practice address
1863 Troup Hwy
Tyler, TX 75701-5871
Phone
(903) 595-3737
Fax
(903) 595-3739
NPI assigned
Dec 18, 2019
Last updated
Dec 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Authorized official

Name
Glenda Armstrong
Title
Manager
Phone
(903) 595-1146

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1863 Troup Hwy
Tyler, TX 75701-5871

Mailing address

PO Box 130364
Tyler, TX 75713-0364
Phone (903) 595-3737

Other identifiers 1

IdentifierTypeStateIssuer
144179MedicaidTX

Other names 1

  • Craig Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1863 Troup Hwy
Tyler, TX 75701
Phone (903) 595-1146

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1295373405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130364",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757130364",
            "telephone_number": "903-595-3737",
            "fax_number": "903-595-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1863 TROUP HWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757015871",
            "telephone_number": "903-595-3737",
            "fax_number": "903-595-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD J. MEYERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "903-595-1146"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144179",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Craig Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.