NPIMap

Organization Active NPI

Tristar Consolidated Inc

Doing business as Tristar Cleveland

  • Community/Retail Pharmacy
  • Cleveland, TX
National Provider Identifier
1013129527
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
15811 Issued in TX
Legal business name
TRISTAR CONSOLIDATED INC
Doing business as
Tristar Cleveland
Practice address
112 S College Ave
Ste 100
Cleveland, TX 77327-4502
Phone
(281) 593-0796
Fax
(281) 593-2521
NPI assigned
May 4, 2007
Last updated
Apr 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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

Authorized official

Name
Larry LaboveNPI 1831462480
Title
Owner/President
Phone
(281) 593-0796

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 15811 TX Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

112 S College Ave
Ste 100
Cleveland, TX 77327-4502

Mailing address

112 S College Ave
Ste 100
Cleveland, TX 77327-4502
Phone (281) 593-0796

Other identifiers 1

IdentifierTypeStateIssuer
2104166OtherPK

Other names 1

  • TRISTAR CLEVELAND Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1013129527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S COLLEGE AVE",
            "address_2": "STE 100",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274502",
            "telephone_number": "281-593-0796",
            "fax_number": "281-593-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S COLLEGE AVE",
            "address_2": "STE 100",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274502",
            "telephone_number": "281-593-0796",
            "fax_number": "281-593-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTAR CONSOLIDATED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "LABOVE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "281-593-0796"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "15811",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2104166",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRISTAR CLEVELAND",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.