Luparellos Corner Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

03143 Issued in TX

Legal business name

LUPARELLOS CORNER PHARMACY LLC

Practice address

3570 Fannett Rd
Beaumont, TX 77705-1365

Phone

(409) 842-3222

Fax

(409) 842-4877

NPI assigned

Oct 11, 2006

Last updated

Nov 28, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nipul K Patel

Title

Officer

Phone

(281) 593-3800

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Luparello's Corner Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Luparellos Corner Pharmacy LLC

  • Long Term Care Pharmacy
  • Beaumont, TX
  • NPI 1619673100
  NPD tax ID

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.

• Bryan Githumbi, RPH

  • Pharmacist
  • Beaumont, TX
  • NPI 1265026496
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511827200000",
    "number": "1578651683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S WILLIAM BARNETT AVE",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274541",
            "telephone_number": "281-593-3800",
            "fax_number": "281-593-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 FANNETT RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777051365",
            "telephone_number": "409-842-3222",
            "fax_number": "409-842-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUPARELLOS CORNER PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2017-11-28",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIPUL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "281-593-3800"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "03143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140334",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2093576",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harrison Daniel Luke, D.D.S.
• Julie Symons Luke, LCSW LPC
• L Denise Sarver Lumpkin, FNP
• Peyton Marie Lumpkin
• Susan J Lundy, NP
• Luparellos Corner Pharmacy LLC
• Debra Jann Lusk, D.P.M.
• Luxottica of America Inc. (Lenscrafters #0717)
• Luxottica Retail North America Inc (Sears Optical #C0015)
• Lymphatic & Massage Studio of Barbara White

• 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 Nov 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.