Provider Demographics
NPI:1174644967
Name:NEWTON PHARMACY, PLLC
Entity type:Organization
Organization Name:NEWTON PHARMACY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:J
Authorized Official - Last Name:KARR
Authorized Official - Suffix:JR
Authorized Official - Credentials:RPH
Authorized Official - Phone:409-379-9999
Mailing Address - Street 1:701 W COURT ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:TX
Mailing Address - Zip Code:75966-3007
Mailing Address - Country:US
Mailing Address - Phone:409-379-9999
Mailing Address - Fax:
Practice Address - Street 1:701 W COURT ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:TX
Practice Address - Zip Code:75966-3007
Practice Address - Country:US
Practice Address - Phone:409-379-9999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35309183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX145083Medicaid
TXBN7295884OtherDEA NUMBER