Organization Active NPI

Life Pharmacy LLC

  • Community/Retail Pharmacy
  • Katy, TX
National Provider Identifier
1013234947
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LIFE PHARMACY LLC
Practice address
23541 Westheimer Pkwy Ste 130
Katy, TX 77494-3597
Phone
(713) 665-5050
Fax
(713) 665-5059
NPI assigned
May 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Authorized official

Name
Dr. Priscilla OkpuzorNPI 1609592492
Title
Manager/Owner
Phone
(713) 665-5050

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 Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

23541 Westheimer Pkwy Ste 130
Katy, TX 77494-3597

Mailing address

23541 Westheimer Pkwy Ste 130
Katy, TX 77494-3597
Phone (713) 665-5050

Other identifiers 1

IdentifierTypeStateIssuer
146286MedicaidTX

National Provider Directory

National Provider Directory

Locations

5800 Bellaire Blvd
Ste 100
Houston, TX 77081

23541 Westheimer Pkwy
Ste 130
Katy, TX 77494
Phone (713) 665-5050

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1013234947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23541 WESTHEIMER PKWY STE 130",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943597",
            "telephone_number": "713-665-5050",
            "fax_number": "713-665-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23541 WESTHEIMER PKWY STE 130",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943597",
            "telephone_number": "713-665-5050",
            "fax_number": "713-665-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-03",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "OKPUZOR",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "713-665-5050",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146286",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.