CSP Pharmacy Services LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

31752 Issued in TX

Legal business name

CSP PHARMACY SERVICES LLC

Practice address

490 Interstate 10 N Ste 400
Beaumont, TX 77702-1822

Phone

(409) 838-5552

Fax

(409) 838-5597

NPI assigned

Aug 1, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Cindy Siles

Title

Owner

Phone

(409) 838-5552

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1487086401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 IH 10 N STE 400",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021822",
            "telephone_number": "409-838-5552",
            "fax_number": "409-838-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 INTERSTATE 10 N STE 400",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021822",
            "telephone_number": "409-838-5552",
            "fax_number": "409-838-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSP PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-01",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "SILES",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-838-5552",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "28679",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "31752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141447",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Brian Crim, M.D.
• Jason W. Crookshank, CRNA
• Crista Crouch
• Levon Ray Cruce, CP BOCPO
• Andrea Cruz
• Carrie Dawn Culp Adams, NP
• Carlos Domingo Cunado, M.D.
• Pati Diann Cure, FNP
• Oscar Jovan Currie III, MD
• Douglas Andrew Curry, MSN, APRN, FNP-C

• Community/Retail Pharmacy in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.