Jerry L Philmon
Pharmacy, Community/Retail Pharmacy in Port Arthur, TX. Organization (NPI-2).
NPI number1609980697
StatusActive
Last updated in NPPESJan 14, 2010
Details
- NPI
- 1609980697
- Entity type
- Organization (NPI-2)
- Legal business name
- Jerry L Philmon
- Organization subpart
- No
- Enumeration date
- Aug 18, 2006
- Last updated
- Jan 14, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 00859 | TX | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Alfords Pharmacy (Doing Business As)
Practice location
5897 W Port Arthur RdPort Arthur, TX 77640-1754
Phone 409-736-2277 · Fax 409-736-2854
Mailing address
Po Box 5428Port Arthur, TX 77640-0428
Authorized official
Orville Odom
Partner
4097362277
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