Provider Demographics
NPI:1568633691
Name:RXPERTS PHARMACY - TEXAS LLC
Entity Type:Organization
Organization Name:RXPERTS PHARMACY - TEXAS LLC
Other - Org Name:RXPERTS PHARMACY TEXAS LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:GIBBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-656-0882
Mailing Address - Street 1:8700 JAMEEL RD
Mailing Address - Street 2:STE 150
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-5047
Mailing Address - Country:US
Mailing Address - Phone:713-460-5454
Mailing Address - Fax:866-508-5574
Practice Address - Street 1:8700 JAMEEL RD
Practice Address - Street 2:STE 150
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-5047
Practice Address - Country:US
Practice Address - Phone:713-460-5454
Practice Address - Fax:866-508-5574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-17
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261003336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2116561OtherPK