Provider Demographics
NPI:1821120981
Name:RPH PARTNERS LLC
Entity type:Organization
Organization Name:RPH PARTNERS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
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:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336S0011X, 3336M0002X
IN64000898A3336M0002X
AK13533336M0002X
IL54.0184093336M0002X
CO62793336M0002X
ID38061MS3336M0002X
CTPCN.00025893336M0002X
KS22164183336M0002X
FLPH272963336M0002X
IA44353336M0002X
CA14773336M0002X
AZY0058763336M0002X
GAPHNR0001753336M0002X
DCNRX00006203336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2092654OtherPK