Corporate Health Dimensions DBA Goodyear Pharmacy Tyler
NPI 1477606325ActiveOrganization· Pharmacist· Tyler, TX
Pharmacist in Tyler, Texas, registered in NPPES in January 2007. The authorized official on file is Delana D. Staten, RPH, Pharmacy Manager.
Overview
| NPI | 1477606325 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 22, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 15096 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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