PHARMERICA – Pharmacy, NPI 1164455747
Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PHARMERICA
4801 Troup Hwy
SUITE 603
Tyler, TX 757032356
Phone: (903) 509-4950
Fax: (903) 509-8313
Type: Location
3802 CORPOREX PARK DR STE 150
TAMPA, FL 336191135
Phone: (813) 318-6039
Type: Mailing
Broussard Street, Tyler, Smith County, Texas, 75703, United States
TYLER, TX 75701
Phone: (903) 509-4950
Fax: (903) 509-8313
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-01-29
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75703)
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