Organization Active NPI

Hervey & Bethard Inc.

  • Long Term Care Pharmacy
  • Longview, TX
National Provider Identifier
1760107403
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
HERVEY & BETHARD INC.
Practice address
1900 S High St
Longview, TX 75602-3299
Phone
(903) 758-8286
NPI assigned
Oct 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cheryl Diane Gilliam, RPHNPI 1558369850
Title
President
Phone
(903) 758-8286

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1900 S High St
Longview, TX 75602-3299

Mailing address

1900 S High St
Longview, TX 75602-3299
Phone (903) 758-8286

Other identifiers 1

IdentifierTypeStateIssuer
091645401MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Dba Louis Morgan Drug 12 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.

Locations

1900 S High St
Longview, TX 75602
Phone (903) 758-8286

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1760107403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S HIGH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756023299",
            "telephone_number": "903-758-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S HIGH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756023299",
            "telephone_number": "903-758-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERVEY & BETHARD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "GILLIAM",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-758-8286",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091645401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.