Organization Active NPI

My Delivery Pharmacy

  • Community/Retail Pharmacy
  • Katy, TX
National Provider Identifier
1003422650
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MY DELIVERY PHARMACY
Practice address
6356 S Peek Rd Ste 1200
Katy, TX 77450-7190
Phone
(281) 717-8760
Fax
(281) 717-8762
NPI assigned
Sep 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Authorized official

Name
Dr. Sylvester Osa-Iyare, PHARMDNPI 1740593409
Title
Pharmacist in Charge
Phone
(281) 717-8760

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

6356 S Peek Rd Ste 1200
Katy, TX 77450-7190

Mailing address

6356 S Peek Rd Ste 1200
Katy, TX 77450-7190
Phone (281) 717-8760

Other identifiers 1

IdentifierTypeStateIssuer
150338MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20201019001125 TX Part B Supplier - Pharmacy 1759701410 Practice locations: Katy, TX
O20201119003471 TX DME Supplier - Pharmacy 1759701410 Practice locations: Katy, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2195864My Delivery Pharmacy6356 South Peek Rd, Suite 1200, Katy, TX 77450Certificate of waiverOct 12, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
My Delivery Pharmacy6356 S Peek Rd, Katy, TX 77450-7190(281) 717-8760 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Sep 18, 2020

National Provider Directory

National Provider Directory

Locations

6356 S Peek Rd
Ste 1200
Katy, TX 77450
Phone (281) 717-8760

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1003422650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6356 S PEEK RD STE 1200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774507190",
            "telephone_number": "281-717-8760",
            "fax_number": "281-717-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6356 S PEEK RD STE 1200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774507190",
            "telephone_number": "281-717-8760",
            "fax_number": "281-717-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY DELIVERY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-18",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "OSA-IYARE",
        "authorized_official_first_name": "SYLVESTER",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "281-717-8760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150338",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.