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ROSELAND PHARMACY
NPI 1346670726
Pharmacy - Community/Retail Pharmacy in Tyler, TX

Active since November 20, 2013
2737 S BROADWAY AVE, TYLER, TX 75701(903) 531-0590(903) 531-0591 Get Directions Write a Review

NPPES record last updated: February 20, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Roseland Pharmacy NPPES

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

ROSELAND PHARMACY (NPI 1346670726) is a healthcare organization registered as a community/retail pharmacy in Tyler, Texas and active in the NPI registry since November 2013. The organization lists Dee Downing, Gm, as its authorized official.

NPPES Registry Identity

NPI1346670726
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCHARLES R GORDON MD PA
Location Address2737 S BROADWAY AVETyler, TX 75701-5413
Mailing AddressPo Box 8967Tyler, TX 75711-8967 · (903) 531-0590 · Fax (903) 531-0591
Phone(903) 531-0590
Fax(903) 531-0591
Organization SubpartNo
Authorized OfficialDee DowningGm · (903) 720-9910
Enumeration DateNovember 20, 2013
Last NPPES UpdateFebruary 20, 2017
✔ NPI 1346670726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in TX · 28882
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
2737 S BROADWAY AVE, Tyler, TX 75701
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Other Names 1

Doing Business AsRoseland Pharmacy

Other Identifiers 1

Other2143181Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 20

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

TIMOTHY CHRIS LAMBERT D.C., FNP-C
Nurse Practitioner (Family)
2737 S BROADWAY AVE
TYLER, TX 75701
Smith County (903) 592-6000
SPENCER SHASTID DO
Internal Medicine
2737 S BROADWAY AVE
TYLER, TX 75701
Smith County (903) 592-6000
WENDY PREWETT
Nurse Practitioner (Acute Care)
2737 S BROADWAY AVE
TYLER, TX 75701
Smith County (903) 592-6000
MELISSA ANNE NEAL FNP
Nurse Practitioner
2737 S BROADWAY AVE
TYLER, TX 75701
Smith County (903) 592-6000
CHARLES R GORDON M.D.
Neurological Surgery
2737 S BROADWAY AVE
TYLER, TX 75701
Smith County (903) 592-6000
ELLISIV LIEN MD
Physical Medicine & Rehabilitation
2737 S BROADWAY AVE
TYLER, TX 75701
Smith County (903) 592-6000
JAMES E WORTHAM P.A.
Physician Assistant
2737 S BROADWAY AVE
TYLER, TX 75701
Smith County (903) 592-6000
BETTY LOUISE VALE R.N., M.S.N, NP-C
Nurse Practitioner (Family)
2737 S BROADWAY AVE
TYLER, TX 75701
Smith County (903) 592-6000

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 Charles R Gordon MD PA's NPI number?

The NPI number for Charles R Gordon MD PA is 1346670726. It was assigned to this organization in the NPPES registry on November 20, 2013. The provider is doing business as Roseland Pharmacy.

Where is Charles R Gordon MD PA located?

Charles R Gordon MD PA is located at 2737 S Broadway Ave, Tyler, TX 75701. The listed phone number is (903) 531-0590.

What is Charles R Gordon MD PA's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Charles R Gordon MD PA accept?

Health plans from Medica and Moda Health Plan, Inc. list Charles R Gordon MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles R Gordon MD PA was last updated on February 20, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.