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ABELDT ENTERPRISES INC. NPI 1477598514


NPI Information

NPI: 1477598514
Provider Name: ABELDT ENTERPRISES, INC.

Doing Business As: ABELDT ENTERPRISES, INC. DBA BRICKSTREET PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
314 W RUSK ST
TYLER, TX
ZIP 75701
Phone: (903) 533-8155
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ABELDT ENTERPRISES, INC. is a long term care pharmacy pharmacy in Tyler, TX. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. ABELDT ENTERPRISES, INC. NPI is 1477598514. The provider is registered as an organization entity type.
The provider Is Doing Business As Abeldt Enterprises, Inc. Dba Brickstreet Pharmacy.

The provider's business location address is:

314 W RUSK ST
TYLER, TX
ZIP 75701-513
Phone: (903) 533-8155
Fax: (903) 533-8158

The provider's authorized official is Jeffrey V Abeldt .
The authorized official title is Owner and has the following contact phone number (903) 533-8155.

The enumeration date for this NPI number is 6/20/2006 and was last updated on 9/21/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail Pharmacy21015TEXASNo
33336L0003XPharmacyLong Term Care PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1148309MEDICAIDTEXAS
24593011OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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