Abeldt Enterprises, Inc.
Organization Active NPI Long Term Care Pharmacy · Tyler, TX
NPI 1477598514 · NPPES record last updated Sep 21, 2021
Key facts
- NPI
- 1477598514
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- Legal business name
- ABELDT ENTERPRISES, INC.
- Practice address
- 314 W Rusk St
Tyler, TX 75701-1513 - Phone
- (903) 533-8155
- Fax
- (903) 533-8158
- NPI assigned
- Jun 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Jeffrey V Abeldt, RPH
- Title
- Owner
- Phone
- (903) 533-8155
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Abeldt Enterprises
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 21015 | TX | |
| Long Term Care Pharmacy | 3336L0003X | Yes |
Addresses
Primary practice location
314 W Rusk St
Tyler, TX 75701-1513
Mailing address
314 W Rusk St
Tyler, TX 75701-1513
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148309 | Medicaid | TX | |
| 4593011 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names
- Abeldt Enterprises, Inc. DBA BrickStreet Pharmacy
Other providers in Tyler, TX
- Amina Khalifa Abdallah
- Yousef Mahmoud Abdel-Raziq
- Kristi Abel
- Abeldt Enterprises
- Abeldt Enterprises Inc
- Jeffrey V Abeldt
- Jaclyn Nicole Abell
- Nikita Abernathy
- Stacy Delyn Abernathy
- Tiwalade Abidoye
All providers in Tyler, TX · Long Term Care Pharmacy in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.