Carey Prosperie Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

13550 Issued in TX

Legal business name

CAREY PROSPERIE PHARMACY INC

Doing business as

Medicine Shoppe

Practice address

2119 E 5TH St
Tyler, TX 75701-3515

Phone

(903) 597-3383

Fax

(903) 597-2129

NPI assigned

Feb 21, 2007

Last updated

Jun 27, 2008By 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

Dena Ferman

Title

Third Party Plan Coordinator

Phone

(314) 993-6000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MEDICINE SHOPPE Doing business as

Locations

Practitioners 1

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.

• James Carey Prosperie, RPH

  • Pharmacist
  • Tyler, TX
  • NPI 1639269442
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1730224361",
    "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"
        },
        {
            "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": {
        "organization_name": "CAREY PROSPERIE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "FERMAN",
        "authorized_official_first_name": "DENA",
        "authorized_official_title_or_position": "THIRD PARTY PLAN COORDINATOR",
        "authorized_official_telephone_number": "314-993-6000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "13550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4580367",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4580367",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andria Beth Cardinalli-Stein, M.D.
• Cardiopulmonary Services, Inc (CPS Medical)
• Cardiovascular Associates of East Texas PA
• Care First Pharmacy, LLC (Smart Rx Pharmacy 20001)
• Carefirst Medical Associates and Pain Rehabilitation, PA
• Leann M Cargile, OTR
• Kylie B Carimi, APRN, FNP-C
• Caring Hands Ppecc of Texas, LLC.
• Carl U Westbrook, II, MD, PA
• Stephanie H Carl, MD

• Community/Retail Pharmacy in Tyler, TX
• Providers in Tyler, 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 Jun 27, 2008; 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.