NPIMap

Organization Active NPI

Retail Investors of Texas, LTD.

Doing business as Market Basket Pharmacies

  • Community/Retail Pharmacy
  • Beaumont, TX
National Provider Identifier
1407808504
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
20891 Issued in TX
Legal business name
RETAIL INVESTORS OF TEXAS, LTD.
Doing business as
Market Basket Pharmacies
Practice address
655 Lavaca St
Beaumont, TX 77705-3811
Phone
(409) 835-4558
NPI assigned
May 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Skylar Thompson
Title
President
Phone
(409) 749-6405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 20891 TX Primary

Addresses

Primary practice location

655 Lavaca St
Beaumont, TX 77705-3811

Mailing address

PO Box 1717
Nederland, TX 77627-1717

Other identifiers 2

IdentifierTypeStateIssuer
58564OtherTXCIDC #
143493MedicaidTX

Other names 1

  • Market Basket Pharmacies Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Market Basket Pharmacies3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407808504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1717",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776271717",
            "fax_number": "409-749-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 LAVACA ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777053811",
            "telephone_number": "409-835-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETAIL INVESTORS OF TEXAS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "SKYLAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-749-6405"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "20891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIDC #",
            "identifier": "58564",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143493",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Market Basket Pharmacies",
            "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 Aug 22, 2020; 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.