Pharmblue Texas LLC
Pharmblue Texas LLC is a healthcare organization registered as Community/Retail Pharmacy in Beaumont, TX, holding Type 2 (organization) NPI 1154799336 since 2015. The authorized official on file is Michael Nelson, Owner,Ceo, Ao.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1154799336 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pharmblue Texas LLC |
| Other name | <Unavail> |
| Practice address | 1495 N 7TH ST, Beaumont, TX, 77702 |
| Phone | 8009675020 |
| Fax | 8448738760 |
| Enumeration date | 2015-09-04 |
| Last updated in NPPES | 2017-03-23 |
Authorized official
| Name | Michael Nelson |
|---|---|
| Title | Owner,Ceo, Ao |
| Phone | 7247794720 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336L0003X | Long Term Care Pharmacy | Secondary | — | — |
| 3336S0011X | Specialty Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 31190 | TX |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2160901 | Other | — | PK |
| 1154799336 | Medicaid | TX | — |
Copy-ready billing details
Provider: Pharmblue Texas LLC NPI: 1154799336 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1495 N 7TH ST, Beaumont, TX, 77702
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1376584789 | Triangle Area Network Inc | Organization | Federally Qualified Health Center (FQHC) | Beaumont, TX |
| 1821527284 | Myeisha Casmire Clifton | Individual | Family Nurse Practitioner | Beaumont, TX |
| 1366954935 | Jaimie Grimes | Individual | Family Nurse Practitioner | Beaumont, TX |
| 1609481043 | Alicia Georgetown | Individual | Family Nurse Practitioner | Beaumont, TX |
| 1134993991 | Madeline Bebee | Individual | Family Nurse Practitioner | Beaumont, TX |
| 1053166231 | Rui Correia | Individual | Nurse Practitioner | Beaumont, TX |
| 1124906466 | Beatrice Haynes | Individual | Family Nurse Practitioner | Beaumont, TX |
Verify this record
Cross-check NPI 1154799336 against the authoritative CMS record: view Pharmblue Texas LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Pharmblue Texas LLC?
Who is the authorized official for Pharmblue Texas LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-03-23.