Jerry L Philmon
Jerry L Philmon is a healthcare organization registered as Community/Retail Pharmacy in Port Arthur, TX, holding Type 2 (organization) NPI 1609980697 since 2006. The authorized official on file is Orville Odom, Partner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1609980697 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jerry L Philmon |
| Other name | <Unavail> |
| Practice address | 5897 W PORT ARTHUR RD, Port Arthur, TX, 77640 |
| Phone | 4097362277 |
| Fax | 4097362854 |
| Enumeration date | 2006-08-18 |
| Last updated in NPPES | 2010-01-14 |
Authorized official
| Name | Orville Odom |
|---|---|
| Title | Partner |
| Phone | 4097362277 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 00859 | TX |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140074 | Medicaid | TX | — |
| 4537936 | Other | — | NCPDP PROVIDER IDENTIFICATION NUMBER |
Copy-ready billing details
Provider: Jerry L Philmon NPI: 1609980697 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 5897 W PORT ARTHUR RD, Port Arthur, TX, 77640
Verify this record
Cross-check NPI 1609980697 against the authoritative CMS record: view Jerry L Philmon 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 type of organization is Jerry L Philmon?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-01-14.