Active NPI
James Carey Prosperie, RPH
- Pharmacist
- Tyler, TX
National Provider Identifier
1639269442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16366
- Practice address
- 2119 E 5TH St
Tyler, TX 75701-3515 - Phone
- (903) 597-3383
- Fax
- (903) 597-2129
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16366 | TX | Primary |
Addresses
Primary practice location
2119 E 5TH St
Tyler, TX 75701-3515
Mailing address
2119 E 5TH St
Tyler, TX 75701-3515
Phone (903) 597-3383
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4580367 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16366 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carey Prosperie Pharmacy Inc | Past | Accepting new patients |
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.
-
- Community/Retail Pharmacy
- Tyler, TX
- NPI 1730224361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1639269442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2119 E 5TH ST",
"city": "TYLER",
"state": "TX",
"postal_code": "757013515",
"telephone_number": "903-597-3383",
"fax_number": "903-597-2129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2119 E 5TH ST",
"city": "TYLER",
"state": "TX",
"postal_code": "757013515",
"telephone_number": "903-597-3383",
"fax_number": "903-597-2129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROSPERIE",
"first_name": "JAMES",
"middle_name": "CAREY",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "16366",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4580367",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
- Lisa Danielle Proctor, APRN FNP-C
- Professional Dental Alliance of TX 43004 PLLC
- Project Empowering, Inc
- Charlie Wayne Propst, MD
- Sherrie Amanda Prosper, COTA
- Matthew F Prosser, D.D.S.
- Prosthetic-Orthotic Associates of East Texas, Inc.
- Julie Prothro, LPC-ASSCOCIATE
- Joseph Lynn Prud'Homme Sr., M.D.
- David Stephen Prudhome, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.