NPIMap

Organization Active NPI

Spring Branch Community Health Center

  • Community/Retail Pharmacy
  • Katy, TX
National Provider Identifier
1003628140
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SPRING BRANCH COMMUNITY HEALTH CENTER
Practice address
19333 Clay Rd
Katy, TX 77449-4001
Phone
(832) 974-4247
Fax
(281) 206-7113
NPI assigned
Jan 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Evelyn Cornielle
Title
Billing Manager
Phone
(713) 462-6565

Specialties & licenses 1

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

Addresses

Primary practice location

19333 Clay Rd
Katy, TX 77449-4001

Mailing address

5502 1St St
Katy, TX 77493-2472
Phone (713) 462-6565

Other names 1

  • West Houston Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251123000123 TX Part B Supplier - Pharmacy 3072501154 Practice locations: Katy, TX

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Spring Branch Comm HLTH Ctr12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9325 Kempwood Dr
Houston, TX 77080
Phone (712) 462-6565

5502 1st St
Katy, TX 77493
Phone 7134626565127

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Spring Branch Community Health CenterKaty, TX, CCN 741861 Federally qualified health center 5% Or Greater Direct Ownership Interest Aug 18, 2014
Spring Branch Community Health CenterHouston, TX, CCN 741866 Federally qualified health center 5% Or Greater Direct Ownership Interest Aug 18, 2014
Spring Branch Community Health CenterHouston, TX, CCN 741965 Federally qualified health center 5% Or Greater Direct Ownership Interest Jan 1, 2016
Spring Branch Community Health CenterHouston, TX, CCN 451196 Federally qualified health center Operational/Managerial Control Mar 1, 2006

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 82

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

View all 82

NPI Registry JSON

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1003628140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5502 1ST ST",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932472",
            "telephone_number": "713-462-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19333 CLAY RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774494001",
            "telephone_number": "832-974-4247",
            "fax_number": "281-206-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING BRANCH COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-24",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "CORNIELLE",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "713-462-6565"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Houston Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.