NPIMap

Organization Active NPI

East Texas Community Health Services, Inc

  • Community/Retail Pharmacy
  • Nacogdoches, TX
National Provider Identifier
1457216665
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
EAST TEXAS COMMUNITY HEALTH SERVICES, INC
Practice address
1309 S University Dr Ste 100
Nacogdoches, TX 75961-6486
Phone
(936) 585-7098
NPI assigned
Dec 19, 2025
Last updated
Dec 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Authorized official

Name
Linda Simpson Fuller
Title
Billing Supervisor
Phone
(936) 585-7121

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

1309 S University Dr Ste 100
Nacogdoches, TX 75961-6486

Mailing address

PO Box 632040
Nacogdoches, TX 75963-2040
Phone (936) 560-5668

National Provider Directory

National Provider Directory

Locations

1309 S University Dr
Ste 100
Nacogdoches, TX 75961
Phone (936) 585-7098

Practitioners & affiliated clinicians

Practitioners 52

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 52

NPI Registry JSON

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

{
    "created_epoch": "1766102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1457216665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632040",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759632040",
            "telephone_number": "936-560-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 S UNIVERSITY DR STE 100",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759616486",
            "telephone_number": "936-585-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS COMMUNITY HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-19",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "SIMPSON",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "936-585-7121"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; 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.