Provider Demographics
NPI:1821120981
Name:RPH PARTNERS LLC
Entity Type:Organization
Organization Name:RPH PARTNERS LLC
Other - Org Name:PRESCRIPTION MART
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PIC/VP
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:C
Authorized Official - Last Name:BYERLY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:409-866-6271
Mailing Address - Street 1:PO BOX 12607
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77726
Mailing Address - Country:US
Mailing Address - Phone:409-866-6271
Mailing Address - Fax:
Practice Address - Street 1:4144 DOWLEN RD
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-6851
Practice Address - Country:US
Practice Address - Phone:409-866-6271
Practice Address - Fax:409-866-1317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA9-00016723336M0002X
HI11813336M0002X
IN64000898A3336M0002X
AK13533336M0002X
IL54.0184093336M0002X
CO62793336M0002X
ID38061MS3336M0002X
CTPCN.00025893336M0002X
KS22164183336M0002X
FLPH272963336M0002X
IA44353336M0002X
CA14773336M0002X
AZY0058763336M0002X
GAPHNR0001753336M0002X
DCNRX00006203336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2092654OtherPK