Active NPI
Retail Investors of Texas, LTD.
- Community/Retail Pharmacy
- Beaumont, TX
National Provider Identifier
1689740342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 20890
- Legal business name
- RETAIL INVESTORS OF TEXAS, LTD.
- Practice address
- 5960 Highway 105
Beaumont, TX 77708-3700 - Phone
- (409) 892-2282
- Fax
- (409) 924-8206
- NPI assigned
- Nov 27, 2006
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 20890 | TX | Primary |
Addresses
Primary practice location
5960 Highway 105
Beaumont, TX 77708-3700
Mailing address
PO Box 1717
Nederland, TX 77627-1717
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4585709 | Other | OTHER ID NUMBER | |
| 4585709 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 143836 | Medicaid | TX |
Other names 1
- MARKET BASKET PHARMACY #43
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110922000491 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 9739193608 |
4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lumberton, TX; Port Neches, TX |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Community/Retail Pharmacy
- Beaumont, TX
- NPI 1609937770
O20110922000491
-
- Community/Retail Pharmacy
- Port Neches, TX
- NPI 1861568529
O20110922000491
National Provider Directory
National Provider Directory- Tax ID family
- Market Basket Pharmacies
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Beaumont, TX
- NPI 1407808504
-
- Community/Retail Pharmacy
- Port Neches, TX
- NPI 1861568529
Locations
5960 Highway 105
Beaumont, TX 77708
Phone (409) 892-2282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1446422400000",
"number": "1689740342",
"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": "5960 HIGHWAY 105",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777083700",
"telephone_number": "409-892-2282",
"fax_number": "409-924-8206"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RETAIL INVESTORS OF TEXAS, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-27",
"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": "20890",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "4585709",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "4585709",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "143836",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MARKET BASKET PHARMACY #43",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Beaumont, TX
- Amanda Minick Reneau, APN
- Renewpath Community Support Services LLC
- Resilient Path Counseling & Therapy PLLC
- Retail Investors of Texas, LTD.
- Retail Investors of Texas, LTD.
- Retina Consultants of Houston PLLC
- Reuben a Isern M.D.P.a.
- Gail P. Rexses, LPC
- Audrey Helen Reyenga, P.A.
- Helen Kathleen Reyes, M.S.,CCC-SLP
Sources for this page
- 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.