Retail Investors of Texas, LTD.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

20887 Issued in TX

Legal business name

RETAIL INVESTORS OF TEXAS, LTD.

Doing business as

Market Basket Pharmacy #47

Practice address

3955 Phelan Blvd
Beaumont, TX 77707-2223

Phone

(409) 892-3226

Fax

(409) 898-8922

NPI assigned

Dec 13, 2006

Last updated

Nov 2, 2015By 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

Skylar Thompson

Title

President

Phone

(409) 749-6405

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• MARKET BASKET PHARMACY #47 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Retail Investors of Texas, LTD.

  dba Market Basket Pharmacy #43

  • Community/Retail Pharmacy
  • Beaumont, TX
  • NPI 1689740342

  O20110922000491

  Same enrollment
• Retail Investors of Texas, LTD.

  dba Market Basket Pharmacy#17

  • Community/Retail Pharmacy
  • Port Neches, TX
  • NPI 1861568529

  O20110922000491

  Same enrollment

Locations

Practitioners 9

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.

• Lana Locascio Candiloro, RPH

  • Pharmacist
  • Groves, TX
  • NPI 1447802335
  NPD (past)
• Matthew Hebert

  • Pharmacist
  • Port Neches, TX
  • NPI 1538702360
  NPD (past)
• Latrisha Ann Johnson, CPHT

  • Pharmacy Technician
  • Beaumont, TX
  • NPI 1942858741
  NPD (past)
• Kristina Ann Knowles, CPHT

  • Pharmacy Technician
  • Beaumont, TX
  • NPI 1134777980
  NPD (past)
• Horace Lynn Miller, RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Groves, TX
  • NPI 1144880865
  NPD (past)
• Terri Lynn Moye, CPHT

  • Pharmacy Technician
  • Beaumont, TX
  • NPI 1417504333
  NPD (past)
• Jerry Lynn Philmon, R.PH.

  • Pharmacist
  • Beaumont, TX
  • NPI 1013569292
  NPD (past)
• Brittany Nicole Pina, CPHT

  • Pharmacy Technician
  • Beaumont, TX
  • NPI 1427606789
  NPD (past)
• William Bruce Tarver, R.PH.

  • Pharmacist
  • Beaumont, TX
  • NPI 1871155150
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1609937770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1717",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776271717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 PHELAN BLVD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072223",
            "telephone_number": "409-892-3226",
            "fax_number": "409-898-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETAIL INVESTORS OF TEXAS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "SKYLAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-749-6405"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "20887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143889",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4586042",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4586042",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARKET BASKET PHARMACY #47",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renal Center of West Beaumont, LLC (Golden Triangle Dialysis)
• Amanda Minick Reneau, APN
• Renewpath Community Support Services LLC (Pathways II Success LLC.)
• Resilient Path Counseling & Therapy PLLC
• Retail Investors of Texas, LTD. (Market Basket Pharmacies)
• Retail Investors of Texas, LTD. (Market Basket Pharmacy #43)
• Retina Consultants of Houston PLLC (Retina Consultants of Texas)
• Reuben a Isern M.D.P.a. (Arthritis & Rheumatology Associates of SE Tx)
• Gail P. Rexses, LPC
• Audrey Helen Reyenga, P.A.

• 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 2, 2015; 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.