NPIMap

Organization Active NPI

Abeldt Enterprises, Inc.

Doing business as Abeldt Enterprises, Inc. DBA BrickStreet Pharmacy

  • Long Term Care Pharmacy
  • Tyler, TX
National Provider Identifier
1477598514
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ABELDT ENTERPRISES, INC.
Doing business as
Abeldt Enterprises, Inc. DBA BrickStreet Pharmacy
Practice address
314 W Rusk St
Tyler, TX 75701-1513
Phone
(903) 533-8155
Fax
(903) 533-8158
NPI assigned
Jun 20, 2006
Last updated
Sep 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Authorized official

Name
Jeffrey V Abeldt, RPHNPI 1407067911
Title
Owner
Phone
(903) 533-8155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 21015 TX
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

314 W Rusk St
Tyler, TX 75701-1513

Mailing address

314 W Rusk St
Tyler, TX 75701-1513

Other names 1

  • Abeldt Enterprises, Inc. DBA BrickStreet Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Abeldt Enterprises3 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.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1477598514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 W RUSK ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W RUSK ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011513",
            "telephone_number": "903-533-8155",
            "fax_number": "903-533-8158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABELDT ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "ABELDT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-533-8155",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "21015",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abeldt Enterprises, Inc. DBA BrickStreet Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Abeldt Enterprises, Inc. DBA BrickStreet Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.