BVN Creative Care, Inc. Dba- Coldspring Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

31408 Issued in TX

Legal business name

BVN CREATIVE CARE, INC. DBA- COLDSPRING PHARMACY

Practice address

13325 Hargrave Road
Suite 230a
Houston, TX 77070

Phone

(281) 888-0222

Fax

(844) 732-7187

NPI assigned

May 22, 2017

Reactivated

Feb 1, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jermaine Allen

Title

Ceo

Phone

(713) 303-3189

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Coldspring Pharmacy Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1003343013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2188",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "77410",
            "telephone_number": "713-303-3189",
            "fax_number": "281-593-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13325 HARGRAVE ROAD",
            "address_2": "SUITE 230A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77070",
            "telephone_number": "281-888-0222",
            "fax_number": "844-732-7187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BVN CREATIVE CARE, INC. DBA- COLDSPRING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-22",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "deactivation_date": "2020-10-20",
        "reactivation_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JERMAINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-303-3189",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "31408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2169487",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coldspring Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Houston, TX
• Providers in Houston, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.