Individual provider Active NPI

Candy Eggleston, RPH

  • Pharmacist
  • Porter, TX
National Provider Identifier
1609431329
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
41062 Issued in TX
Practice address
24420 FM 1314 Rd Ste 13
Porter, TX 77365-5490
Phone
(281) 747-7158
Fax
(281) 747-7172
NPI assigned
May 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 41062 TX Primary

Addresses

Primary practice location

24420 FM 1314 Rd Ste 13
Porter, TX 77365-5490

Mailing address

24420 FM 1314 Rd Ste 13
Porter, TX 77365-5490
Phone (281) 747-7158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
41062TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
1St Express Pharmacy LLC Current Accepting new patients

Locations

24420 FM 1314 Rd
Ste 13
Porter, TX 77365
Phone (281) 747-7158

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1609431329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24420 FM 1314 RD STE 13",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773655490",
            "telephone_number": "281-747-7158",
            "fax_number": "281-747-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24420 FM 1314 RD STE 13",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773655490",
            "telephone_number": "281-747-7158",
            "fax_number": "281-747-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGLESTON",
        "first_name": "CANDY",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "41062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porter, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.