Organization
ABELDT ENTERPRISES
Active
Organization
ABELDT ENTERPRISES
Active
Other names
BRICK STREET PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY ABELDT RPH (OWNER)
(903) 533-8155
Entity
Organization
Contact information
Practice address
314 W RUSK ST, TYLER, TX 75701-1513
(903) 533-8155
(903) 533-8158
Mailing address
314 W RUSK ST, TYLER, TX 75701-1513
(903) 533-8155
(903) 533-8158
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
21015
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145088
—
TX
01
—
2104357
PK
—
Enumeration date
07/17/2006
Last updated
06/24/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up