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BRICK STREET PHARMACY
NPI 1407874936
Pharmacy - Community/Retail Pharmacy in Tyler, TX

Active since July 17, 2006CLIA 45D2067291 · Waiver
314 W RUSK ST, TYLER, TX 75701(903) 533-8155(903) 533-8158 Get Directions Write a Review

NPPES record last updated: June 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2020, Dec 13, 2016 (2 updates tracked since 2016).

About Brick Street Pharmacy NPPES

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

BRICK STREET PHARMACY (NPI 1407874936) is a healthcare organization registered as a community/retail pharmacy in Tyler, Texas and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through October 10, 2027 and lists Jeffrey Abeldt, Owner, as its authorized official.

NPPES Registry Identity

NPI1407874936
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameABELDT ENTERPRISES
Location Address314 W RUSK STTyler, TX 75701-1513
Mailing Address314 W Rusk StTyler, TX 75701-1513 · (903) 533-8155 · Fax (903) 533-8158
Phone(903) 533-8155
Fax(903) 533-8158
Organization SubpartNo
Authorized OfficialJeffrey AbeldtOwner · (903) 533-8155
Enumeration DateJuly 17, 2006
Last NPPES UpdateJune 24, 20202 updates tracked since enumeration
NPPES CertifiedJune 24, 2020
✔ NPI 1407874936 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 · 21015
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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
314 W RUSK ST, Tyler, TX 75701
Open in Google Maps ↗

Other Names 1

Doing Business AsBrick Street Pharmacy

Other Identifiers 2

Medicaid145088TX
Other2104357Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2067291

Abeldt Enterprises Inc Dba Brickstreet Pharmacy · Tyler, TX
Active · expires Oct 10, 2027
CLIA Number45D2067291
Laboratory TypePharmacy
Certificate Effective DateOctober 11, 2025
Certificate Expiration DateOctober 10, 2027
Laboratory DirectorJeffrey V. Abeldt
Laboratory Phone(903) 533-8155
Laboratory LocationAbeldt Enterprises Inc Dba Brickstreet Pharmacy314 West Rusk Street, Tyler, TX 75701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
142 services139 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
132 services132 patients

Medical Equipment Supplier Medicare DMEPOS 32

Medicare supplier enrollment and the product categories Brickstreet Pharmacy carries, from the Medicare DMEPOS supplier directory.

Brickstreet Pharmacy

DMEPOS supplier · Tyler, TXOperated by Abeldt Enterprises, Inc.
⋮

Does not accept Medicare assignment

Brickstreet Pharmacy 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)20566127
Medicare Participant SinceMarch 28, 2007
Supplier Location314 W Rusk StTyler, TX 75701
Phone(903) 533-8155
Supplier Specialties
Certified Other Orthotic Personnel Pharmacy

Medicare Product Categories

Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Heat & Cold Applications
Heat therapy, Cold therapy, Heating pads
Hospital Beds (Electric)
Total electric hospital beds, Semi-electric hospital beds
Hospital Beds (Manual)
Fixed height hospital beds, Variable height hospital beds
Insulin Infusion Pumps and/or Supplies
Disposable Insulin Delivery System, Mechanical insulin infusion pumps, Needle type infusion sets, Cannula type infusion sets
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 4

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

MR. JEFFREY V ABELDT
Pharmacist
314 W RUSK ST
TYLER, TX 75701
Smith County (903) 533-8155
MR. ERNEST L DEWS JR.
Pharmacist
314 W RUSK ST
TYLER, TX 75701
Smith County (903) 533-8155
ABELDT ENTERPRISES, INC.
Pharmacy (Long Term Care Pharmacy)
314 W RUSK ST
TYLER, TX 75701
Smith County (903) 533-8155
ABELDT ENTERPRISES INC
Durable Medical Equipment & Medical Supplies
314 W RUSK ST
TYLER, TX 75701
Smith County (903) 533-8155

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 Abeldt Enterprises's NPI number?

The NPI number for Abeldt Enterprises is 1407874936. It was assigned to this organization in the NPPES registry on July 17, 2006. The provider is doing business as Brick Street Pharmacy.

Where is Abeldt Enterprises located?

Abeldt Enterprises is located at 314 W Rusk St, Tyler, TX 75701. The listed phone number is (903) 533-8155.

What is Abeldt Enterprises's specialty?

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

Does Abeldt Enterprises accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Brickstreet Pharmacy 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.

Does Abeldt Enterprises hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2067291) is associated with this NPI, valid through October 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Abeldt Enterprises accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 56 other insurers list Abeldt Enterprises 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 Abeldt Enterprises was last updated on June 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.