Organization Active NPI

Carsan Inc

Doing business as Medicine Shoppe

  • Community/Retail Pharmacy
  • Spring, TX
National Provider Identifier
1003951633
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
18211 Issued in TX
Legal business name
CARSAN INC
Doing business as
Medicine Shoppe
Practice address
8111 Cypresswood Dr
Suite 107
Spring, TX 77379-7185
Phone
(281) 655-0110
Fax
(281) 655-0045
NPI assigned
Feb 21, 2007
Last updated
Sep 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Dena Ferman
Title
Third Party Plan Coordinator
Phone
(314) 993-6000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 18211 TX Primary

Addresses

Primary practice location

8111 Cypresswood Dr
Suite 107
Spring, TX 77379-7185

Mailing address

8111 Cypresswood Dr
Suite 107
Spring, TX 77379-7185

Other identifiers 3

IdentifierTypeStateIssuer
144635MedicaidTX
4501498OtherOTHER ID NUMBER-COMMERCIAL NUMBER
4501498OtherOTHER ID NUMBER

Other names 1

  • MEDICINE SHOPPE Doing business as

National Provider Directory

National Provider Directory

Locations

8111 Cypresswood Dr
Ste 107
Spring, TX 77379
Phone (281) 655-0110

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1003951633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 CYPRESSWOOD DR",
            "address_2": "SUITE 107",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 CYPRESSWOOD DR",
            "address_2": "SUITE 107",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797185",
            "telephone_number": "281-655-0110",
            "fax_number": "281-655-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARSAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "FERMAN",
        "authorized_official_first_name": "DENA",
        "authorized_official_title_or_position": "THIRD PARTY PLAN COORDINATOR",
        "authorized_official_telephone_number": "314-993-6000"
    },
    "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": "18211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144635",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4501498",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4501498",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.