Humble RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

HUMBLE RX LLC

Doing business as

Porter Pharmacy

Practice address

308 W Larissa St
Jacksonville, TX 75766

Phone

(903) 586-9804

Fax

(903) 586-2281

NPI assigned

Aug 18, 2006

Last updated

Sep 27, 2024By 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

Mr. Robert Meeks, PHARMDNPI 1295298206

Title

Owner/Pharmacist

Phone

(903) 586-9804

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• PORTER PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Humble RX 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.

• Humble RX LLC

  dba Porter Pharmacy

  • Community/Retail Pharmacy
  • Jacksonville, TX
  • NPI 1336625086
  NPD tax ID

Locations

Practitioners 2

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.

• Robert Meeks

  • Pharmacist
  • Jacksonville, TX
  • NPI 1295298206
  NPD Authorized official
• Eric Paul Evans

  • Pharmacist
  • Jacksonville, TX
  • NPI 1447368832
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1710091707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 W LARISSA ST",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "75766",
            "telephone_number": "903-586-9804",
            "fax_number": "903-586-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W LARISSA ST",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "75766",
            "telephone_number": "903-586-9804",
            "fax_number": "903-586-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBLE RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "MEEKS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "903-586-9804",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149915",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2097950",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4524282",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TSBP",
            "identifier": "32220",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PORTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PORTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul Alan Hobus, MD
• Carol Lynn Holder
• Bailey Holman
• Billie Smith Hopson
• Humble RX LLC (Porter Pharmacy)
• Jeffrey Thomas Hunter, M.D.
• J.Michael Hatchett, DDS, PC Mark Allan Thompson, DDS, PC
• Andrew Jay Jackson
• Jacksonville Health Care
• Jacksonville Hospital LLC

• Community/Retail Pharmacy in Jacksonville, TX
• Providers in Jacksonville, 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 Sep 27, 2024; 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.