Charles Alvin Meadows Jr.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

34529 Issued in TX

Practice address

21013 Old Sorters Rd Ste C
Porter, TX 77365-7083

Phone

(281) 747-7445

Fax

(281) 605-5337

NPI assigned

Nov 28, 2022

Last updated

Nov 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• MBB Investment Group LLC

  dba Serene Care Pharmacy

  • Community/Retail Pharmacy
  • Porter, TX
  • NPI 1316657216
  NPD Authorized official

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1376253781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21013 OLD SORTERS RD STE C",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773657083",
            "telephone_number": "281-747-7445",
            "fax_number": "281-605-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21013 OLD SORTERS RD STE C",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773657083",
            "telephone_number": "281-747-7445",
            "fax_number": "281-605-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOWS",
        "first_name": "CHARLES",
        "middle_name": "ALVIN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "34529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica McAdams, MS, CCC-SLP
• Mary McIntire, OTR
• Kelley McMaster, OTR
• Emily Elizabeth McShane, PT
• Mda Diversified Enterprises Corp
• Erica Yvette Mejia
• Krystallynne Shanielle Mikle, PHD, LCSW, MSW, BSW
• Caitlin Elizabeth Miller, OTA
• Mind Body Soul Therapy PLLC
• Shweta Misra, LICENSED DIETITIAN

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Porter, TX
• Providers in Porter, TX by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.