Mordon LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MORDON LLC

Practice address

10407 W Fairmont Pkwy Ste C
La Porte, TX 77571-6018

Phone

(281) 941-4976

Fax

(281) 941-4871

NPI assigned

Jul 15, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Donald Wayne Robinson Jr.

Title

Managing Officer

Phone

(832) 670-2616

Specialties & licenses 1

Addresses

Other names 1

• Fairmont Pharmacy Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1003488339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10407 W FAIRMONT PKWY STE C",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775716018",
            "telephone_number": "281-941-4976",
            "fax_number": "281-941-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10407 W FAIRMONT PKWY STE C",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775716018",
            "telephone_number": "281-941-4976",
            "fax_number": "281-941-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORDON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-11-01",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "MANAGING OFFICER",
        "authorized_official_telephone_number": "832-670-2616",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "computer",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10407 W Fairmont Pkwy Ste C",
            "city": "LA Porte",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775716018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Fairmont Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fairmont Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in La Porte, TX
• Providers in La Porte, 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 Nov 1, 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.