Active NPI
Paul Alan Theiler, R.PH.
- Geriatric Pharmacist
- Stafford, TX
National Provider Identifier
1417320649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 27276
- Practice address
- 12503 Exchange Dr
Suite 536
Stafford, TX 77477-3699 - Phone
- (713) 391-2200
- Fax
- (888) 391-2210
- NPI assigned
- Nov 10, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 27276 | TX | Primary |
Addresses
Primary practice location
12503 Exchange Dr
Suite 536
Stafford, TX 77477-3699
Mailing address
12503 Exchange Dr
Suite 536
Stafford, TX 77477-3699
Phone (713) 391-2200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27276 | TX | MD | Geriatric Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partners Pharmacy of Texas, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Garland, TX
- NPI 1619230976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447113600000",
"number": "1417320649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12503 EXCHANGE DR",
"address_2": "SUITE 536",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774773699",
"telephone_number": "713-391-2200",
"fax_number": "888-391-2210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12503 EXCHANGE DR",
"address_2": "SUITE 536",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774773699",
"telephone_number": "713-391-2200",
"fax_number": "888-391-2210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEILER",
"first_name": "PAUL",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-10",
"last_updated": "2015-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "TX",
"license": "27276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stafford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.