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RED RIVER PHARMACY OF TEXARKANA
NPI 1194093401
Pharmacy in Texarkana, TX

Active since December 01, 2011
1550 MOORES LN STE B, TEXARKANA, TX 75503(903) 792-7435(903) 793-0485 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 24, 2021, Jun 14, 2021, Jun 11, 2021 (3 updates tracked since 2021).

About Red River Pharmacy Of Texarkana NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RED RIVER PHARMACY OF TEXARKANA (NPI 1194093401) is a healthcare organization registered as a pharmacy in Texarkana, Texas and active in the NPI registry since December 2011. The organization lists David Boudreaux, President, as its authorized official.

NPPES Registry Identity

NPI1194093401
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameRED RIVER PHARMACY SERVICES INC
Location Address1550 MOORES LN STE BTexarkana, TX 75503-4657
Mailing Address1550 Moores Ln Ste BTexarkana, TX 75503-4657 · (903) 792-7435 · Fax (903) 793-0485
Phone(903) 792-7435
Fax(903) 793-0485
Organization SubpartNo
Authorized OfficialDavid BoudreauxPresident · (903) 792-7435
Enumeration DateDecember 1, 2011
Last NPPES UpdateJune 24, 20213 updates tracked since enumeration
NPPES CertifiedJune 24, 2021
✔ NPI 1194093401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
1550 MOORES LN STE B, Texarkana, TX 75503
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Other Names 1

Doing Business AsRed River Pharmacy Of Texarkana

Other Identifiers 1

Other33819TX · State Board Of Pharmacy

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Red River Infusion Pha Of Texarkana carries, from the Medicare DMEPOS supplier directory.

Red River Infusion Pha Of Texarkana

DMEPOS supplier · Texarkana, TXOperated by Red River Pharmacy Services Inc
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Does not accept Medicare assignment

Red River Infusion Pha Of Texarkana has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20626637
Medicare Participant SinceDecember 27, 2000
Supplier Location1550 Moores Ln Ste DTexarkana, TX 75503
Phone(903) 792-2753
Supplier Specialties
Certified Other Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GARRETH GLEN RUSSELL PHARMD
Pharmacist
1550 MOORES LN STE B
TEXARKANA, TX 75503
Bowie County (903) 792-7435

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Red River Pharmacy Services Inc's NPI number?

The NPI number for Red River Pharmacy Services Inc is 1194093401. It was assigned to this organization in the NPPES registry on December 1, 2011. The provider is doing business as Red River Pharmacy Of Texarkana.

Where is Red River Pharmacy Services Inc located?

Red River Pharmacy Services Inc is located at 1550 Moores Ln Ste B, Texarkana, TX 75503. The listed phone number is (903) 792-7435.

What is Red River Pharmacy Services Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Red River Pharmacy Services Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Red River Infusion Pha Of Texarkana does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Red River Pharmacy Services Inc was last updated on June 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.