QVL PHARMACY 102
NPI 1477505618
Pharmacy - Community/Retail Pharmacy in Tyler, TX

Active since May 16, 2006
1321 S BECKHAM AVE, TYLER, TX 75701(903) 593-1706(903) 593-5513 Get Directions Write a Review

NPPES record last updated: June 17, 2014. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Qvl Pharmacy 102 NPPES

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

QVL PHARMACY 102 (NPI 1477505618) is a healthcare organization registered as a community/retail pharmacy in Tyler, Texas and active in the NPI registry since May 2006. The organization lists Gary Chad Collins, Ceo, as its authorized official.

NPPES Registry Identity

NPI1477505618
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSS TYLER LP
Location Address1321 S BECKHAM AVETyler, TX 75701-3323
Mailing AddressPo Box 803493Dallas, TX 75380-3493 · (214) 624-3073 · Fax (214) 989-7986
Fax(903) 593-5513
Organization SubpartNo
Authorized OfficialGary Chad CollinsCeo · (214) 624-3050
Enumeration DateMay 16, 2006
Last NPPES UpdateJune 17, 2014
NPI 1477505618 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 · 23909
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
1321 S BECKHAM AVE, Tyler, TX 75701

Other Names 1

Doing Business AsQvl Pharmacy 102

Other Identifiers 2

Medicaid145570TX
Other2097627Pk

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 Ss Tyler LP's NPI number?

The NPI number for Ss Tyler LP is 1477505618. It was assigned to this organization in the NPPES registry on May 16, 2006. The provider is doing business as Qvl Pharmacy 102.

Where is Ss Tyler LP located?

Ss Tyler LP is located at 1321 S Beckham Ave, Tyler, TX 75701. The listed phone number is (903) 593-1706.

What is Ss Tyler LP's specialty?

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

When was this NPI record last updated?

The NPPES record for Ss Tyler LP was last updated on June 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.