Abeldt GP, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

04196 Issued in TX

Legal business name

ABELDT GP, LLC

Doing business as

Abeldt's Gaslight Pharmacy

Practice address

200 Gaslight Blvd
Lufkin, TX 75904-3166

Phone

(936) 639-2346

Fax

(936) 639-0886

NPI assigned

May 27, 2006

Last updated

Apr 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey V AbeldtNPI 1407067911

Title

President

Phone

(936) 639-2346

Specialties & licenses 4

Addresses

Other identifiers 4

Other names 1

• Abeldt's Gaslight Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Tax ID family

Abeldt GP LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Abeldt GP, LLC

  dba Abeldt's Gaslight Pharmacy

  • Long Term Care Pharmacy
  • Lufkin, TX
  • NPI 1871290411
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey V Abeldt

  • Pharmacist
  • Tyler, TX
  • NPI 1407067911
  NPD Authorized official

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1295782340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043166",
            "telephone_number": "936-639-2346",
            "fax_number": "936-639-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043166",
            "telephone_number": "936-639-2346",
            "fax_number": "936-639-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABELDT GP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "ABELDT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-639-2346"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "04196",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "506658",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "750675",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015612701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126841901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abeldt's Gaslight Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• A Pineywoods Home Services
• A Pineywoods Hospice, Inc.
• Aaron K Calodney M.D., P.a.
• Deana Gelan Abdel-Reheim, MD
• Riam Hassan Abdulwahab
• Abeldt GP, LLC (Abeldt's Gaslight Pharmacy)
• Buford T Abeldt Sr., RPH
• Abeldt's Gaslight Pharmacy
• Abeldts Gaslight Pharmacy Inc (Abeldts Medical Supply)
• Casey Abernathy, RPH

• Community/Retail Pharmacy in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.