NPIMap

Organization Active NPI

Retail Investors of Texas, LTD.

  • Community/Retail Pharmacy
  • Port Neches, TX
National Provider Identifier
1861568529
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
20888 Issued in TX
Legal business name
RETAIL INVESTORS OF TEXAS, LTD.
Practice address
864 Magnolia Ave
Port Neches, TX 77651-3712
Phone
(409) 722-0411
Fax
(409) 727-8986
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 20888 TX Primary

Addresses

Primary practice location

864 Magnolia Ave
Port Neches, TX 77651-3712

Mailing address

PO Box 1717
Nederland, TX 77627-1717

Other identifiers 3

IdentifierTypeStateIssuer
143566MedicaidTX
4579592OtherOTHER ID NUMBER-COMMERCIAL NUMBER
4579592OtherOTHER ID NUMBER

Other names 1

  • MARKET BASKET PHARMACY#17 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory
Tax ID family
Market Basket Pharmacies3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1861568529",
    "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": "864 MAGNOLIA AVE",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776513712",
            "telephone_number": "409-722-0411",
            "fax_number": "409-727-8986"
        }
    ],
    "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": "20888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143566",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4579592",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4579592",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARKET BASKET PHARMACY#17",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Neches, TX

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.

Verify at the official NPI Registry.