PH Squared LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

23122 Issued in TX

Legal business name

PH SQUARED LLC

Practice address

4500 E Sam Houston Pkwy S Ste 100
Pasadena, TX 77505-3956

Phone

(281) 998-9400

Fax

(281) 998-9401

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Craig Longhurst

Title

President

Phone

(281) 998-9400

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• PHARMHOUSE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1003910076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 E SAM HOUSTON PKWY S",
            "address_2": "STE 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053959",
            "telephone_number": "281-998-9400",
            "fax_number": "281-998-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 E SAM HOUSTON PKWY S STE 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053956",
            "telephone_number": "281-998-9400",
            "fax_number": "281-998-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PH SQUARED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "LONGHURST",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-998-9400"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "23122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145395",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2097752",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARMHOUSE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter B. Morgan, M.D. P.a.
• Elizabeth Kaye Petitt, FNP
• Matthew Sean Petitt, DO
• Darnell D Pettway, MD
• Peyman Pakzaban, MD PA
• Dang Thanh Pham, M.D.
• Hieu T. Pham, D.O.
• Nguyen Pham
• Tuan Quoc Pham, D.D.S.
• Tung Cao Pham

• Long Term Care Pharmacy in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Long Term Care Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.