NPIMap

Organization Active NPI

Pro Lab Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Paris, TX
National Provider Identifier
1376563981
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
16 Issued in TX
Legal business name
PRO LAB PHARMACY
Practice address
3150 Clarksville St
Suite 300
Paris, TX 75460-8076
Phone
(877) 785-8750
Fax
(903) 785-1357
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jay Teague
Title
Owner
Phone
(877) 785-1357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 16 TX Primary

Addresses

Primary practice location

3150 Clarksville St
Suite 300
Paris, TX 75460-8076

Mailing address

2233 East Main Street
Montrose, CO 81401
Phone (970) 249-3700

National Provider Directory

National Provider Directory
Tax ID family
Pro Lab Pharmacy2 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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1376563981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 EAST MAIN STREET",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "81401",
            "telephone_number": "970-249-3700",
            "fax_number": "970-249-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 CLARKSVILLE ST",
            "address_2": "SUITE 300",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754608076",
            "telephone_number": "877-785-8750",
            "fax_number": "903-785-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO LAB PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-785-1357"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "16",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.