NPIMap

Organization Active NPI

Baptist Hospitals of Southeast Texas

  • Community/Retail Pharmacy
  • Beaumont, TX
National Provider Identifier
1356984439
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BAPTIST HOSPITALS OF SOUTHEAST TEXAS
Practice address
3180 College St
Beaumont, TX 77701-4608
Phone
(409) 212-7289
NPI assigned
Oct 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Authorized official

Name
Mr. Justin Doss
Title
Ceo
Phone
(409) 212-5012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

3180 College St
Beaumont, TX 77701-4608

Mailing address

3180 College St
Beaumont, TX 77701-4608
Phone (409) 212-7289

Other names 1

  • BAPTIST BEAUMONT HOSPITAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200113002375 TX DME Supplier - Pharmacy 9335123033 Practice locations: Beaumont, TX

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Cancer Institute Pharmacy3180 College St, Beaumont, TX 77701-4608(409) 212-7289 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Nov 4, 2019

National Provider Directory

National Provider Directory
Tax ID family
Baptist Hosp Winnie5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

3345 Plaza 10 Dr
Ste F
Beaumont, TX 77707
Phone (409) 892-1213

2685 Broadway St
Slp Ctr
Beaumont, TX 77702
Phone (409) 981-5526

810 Hospital Dr
Ste 350
Beaumont, TX 77701
Phone (409) 212-7474

4025 Eastex Fwy
Beaumont, TX 77706
Phone (409) 347-8585

3555 Stagg Dr
Beaumont, TX 77701
Phone (409) 212-5922

390 N 11th St
Slp Ctr
Beaumont, TX 77702
Phone (409) 981-5526

810 Hospital Dr
Ste 270
Beaumont, TX 77701
Phone (409) 212-5780

810 Hospital Dr
Ste 220
Beaumont, TX 77701
Phone (409) 832-6444

740 Hospital Dr
Ste 260A
Beaumont, TX 77701
Phone (409) 212-5450

114 S Lhs Dr
Ste 200
Lumberton, TX 77657
Phone (409) 212-5672

1112 N Memorial Fwy
Nederland, TX 77627
Phone (409) 727-5509

601 Strickland Dr
Orange, TX 77630

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1356984439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 COLLEGE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014608",
            "telephone_number": "409-212-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 COLLEGE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014608",
            "telephone_number": "409-212-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST HOSPITALS OF SOUTHEAST TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "DOSS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "409-212-5012",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAPTIST BEAUMONT HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.