Nevatex Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

NEVATEX PHARMACY LLC

Doing business as

Nevatex Pharmacy

Practice address

6465 State Hwy 78
Suite 105
Nevada, TX 75173

Phone

(866) 949-9999

Fax

(903) 375-0406

NPI assigned

Aug 31, 2020

Last updated

Aug 31, 2020By 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

Kelly Tomlinson, CPHT

Title

Owner

Phone

(903) 900-0776

Specialties & licenses 1

Addresses

Other names 1

• NEVATEX PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1992318760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6465 STATE HWY 78",
            "address_2": "SUITE 105",
            "city": "NEVADA",
            "state": "TX",
            "postal_code": "75173",
            "telephone_number": "866-949-9999",
            "fax_number": "903-375-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6465 STATE HWY 78",
            "address_2": "SUITE 105",
            "city": "NEVADA",
            "state": "TX",
            "postal_code": "75173",
            "telephone_number": "866-949-9999",
            "fax_number": "903-375-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVATEX PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "TOMLINSON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-900-0776",
        "authorized_official_credential": "CPHT"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEVATEX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristina M Gammons, RN, LP
• Jessica Gardner, RD, LD
• Brandi McBride, PT, DPT
• Barri Joe Mulkey II, ATC, LAT
• My Nutrition, LLC.
• Tiffany Sayles, M.S., B.C.B.A
• Kathryn Ann White, FNP-C
• Leea White, LMT

• Community/Retail Pharmacy in Nevada, TX
• Providers in Nevada, 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 Aug 31, 2020; 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.