Q3BL Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

31497 Issued in TX

Legal business name

Q3BL PHARMACY LLC

Doing business as

Pat Wood Drug Store

Practice address

3250 Central Mall Dr
Port Arthur, TX 77642-8037

Phone

(409) 853-1685

Fax

(409) 853-1713

NPI assigned

Aug 24, 2017

Last updated

Mar 7, 2023By 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

Mr. Quynh Jeff Pham

Title

Owner/MGR

Phone

(409) 985-8874

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Pat Wood Drug Store Doing business as

Tax ID family

Pat Wood Drug Store2 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.

• Q3BL Pharmacy LLC

  dba Pat Wood Drug Store

  • Community/Retail Pharmacy
  • Port Arthur, TX
  • NPI 1467566455
  NPD tax ID

Locations

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1407373186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3835",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776433835",
            "telephone_number": "409-985-8874",
            "fax_number": "409-985-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 CENTRAL MALL DR",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428037",
            "telephone_number": "409-853-1685",
            "fax_number": "409-853-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Q3BL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "QUYNH JEFF",
        "authorized_official_title_or_position": "OWNER/MGR",
        "authorized_official_telephone_number": "409-985-8874",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "31497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5921817",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF PHARMACY LICENSE",
            "identifier": "31497",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pat Wood Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Primary Care Pediatrics,PA
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• Pro Med Providers LLC
• Paul Q Proffitt, D.O.
• Marwan Purghol, MD
• Q3BL Pharmacy LLC (Pat Wood Drug Store)
• Quantum Hospital Medicine Services of Texas PA
• Rose E Quirante, MS RD LD
• Rachel's Home Care Services, Inc.
• Dennis C Rainey, MD

• Community/Retail Pharmacy in Port Arthur, TX
• Providers in Port Arthur, 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 Mar 7, 2023; 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.