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RED RIVER LTC OF TYLER
NPI 1447500590
Pharmacy - Long Term Care Pharmacy in Tyler, TX

Active since September 17, 2012
4801 TROUP HWY, SUITE 402, TYLER, TX 75703(903) 617-6885(844) 308-8629 Get Directions Write a Review

NPPES record last updated: May 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Red River Ltc Of Tyler NPPES

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

RED RIVER LTC OF TYLER (NPI 1447500590) is a healthcare organization registered as a long term care pharmacy in Tyler, Texas and active in the NPI registry since September 2012. The organization lists David Boudreaux, President/owner, as its authorized official.

NPPES Registry Identity

NPI1447500590
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameRED RIVER PHARMACY LONG TERM CARE, LLC
Location Address4801 TROUP HWY, SUITE 402Tyler, TX 75703-2356
Mailing Address1550 Moores Ln Ste ATexarkana, TX 75503-4657 · (903) 617-6885 · Fax (903) 617-6972
Phone(903) 617-6885
Fax(844) 308-8629
Organization SubpartNo
Authorized OfficialDavid BoudreauxPresident/owner · (903) 792-1721
Enumeration DateSeptember 17, 2012
Last NPPES UpdateMay 31, 2022
NPPES CertifiedMay 31, 2022
✔ NPI 1447500590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in TX · 28138
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
4801 TROUP HWY, Tyler, TX 75703
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Other Names 1

Doing Business AsRed River Ltc Of Tyler

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 ›

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.

KIMBERLY WESTBROOK
Occupational Therapist (Pediatrics)
4801 TROUP HWY, STE. 800
TYLER, TX 75703
Smith County (903) 939-2800
MARY PAIGE WOODFIN
Occupational Therapist
4801 TROUP HWY, SUITE 800
TYLER, TX 75703
Smith County (903) 939-2800
PEDI SPOT LLC
Clinic/Center (Rehabilitation)
4801 TROUP HWY, SUITE 800
TYLER, TX 75703
Smith County (903) 939-2800
LAUREN N BUSH
Occupational Therapist (Pediatrics)
4801 TROUP HWY, SUITE 800
TYLER, TX 75703
Smith County (903) 939-2800
HANNAH ELISABETH OSBORNE
Occupational Therapist
4801 TROUP HWY, SUITE 800
TYLER, TX 75703
Smith County (903) 939-2800
SANDRA COLLINS OT
Occupational Therapist
4801 TROUP HWY, STE 800
TYLER, TX 75703
Smith County (903) 939-2800
NATALIE REAVES
Specialist/Technologist (Speech-Language Assistant)
4801 TROUP HWY, SUITE 800
TYLER, TX 75703
Smith County (903) 939-2800
VERONIKA BAILEY M.S. CCC-SLP
Speech-Language Pathologist
4801 TROUP HWY, STE 800
TYLER, TX 75703
Smith County (903) 525-9130

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 Long Term Care, LLC's NPI number?

The NPI number for Red River Pharmacy Long Term Care, LLC is 1447500590. It was assigned to this organization in the NPPES registry on September 17, 2012. The provider is doing business as Red River Ltc Of Tyler.

Where is Red River Pharmacy Long Term Care, LLC located?

Red River Pharmacy Long Term Care, LLC is located at 4801 Troup Hwy Suite 402, Tyler, TX 75703. The listed phone number is (903) 617-6885.

What is Red River Pharmacy Long Term Care, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Red River Pharmacy Long Term Care, LLC 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 50 other insurers list Red River Pharmacy Long Term Care, LLC 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 Red River Pharmacy Long Term Care, LLC was last updated on May 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.