Mountain Care Pharmacy Houston LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

28722 Issued in TX

Legal business name

MOUNTAIN CARE PHARMACY HOUSTON LLC

Practice address

10665 Richmond Ave Ste 195
Houston, TX 77042-5110

Phone

(713) 300-0191

NPI assigned

Jun 21, 2013

Organization subpart

No

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

Authorized official

Name

Jared Memmott

Title

Director of Compliance

Phone

(801) 713-0106

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Mountain Care Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382745600000",
    "number": "1013356112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 W BELLWOOD LN",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841234494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10665 RICHMOND AVE STE 195",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770425110",
            "telephone_number": "713-300-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN CARE PHARMACY HOUSTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-21",
        "last_updated": "2013-10-26",
        "status": "A",
        "authorized_official_last_name": "MEMMOTT",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "801-713-0106"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "TX",
            "license": "28722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141042",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Semaj M Mounger, BCBA
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• Mount Olive Hospice and Palliative Care LLC
• Mount Pediatric and Family Clinic LLC
• Priscila Emi Nakano Mount, MSN, APRN, CPNP-AC
• Mountain Movers Counseling PLLC
• Mountain Radiology, Inc
• Mountain Top Learning Center
• Mounting Horizons Inc.
• Paschalia Maria Mountziaris, M.D.

• Specialty Pharmacy in Houston, TX
• Providers in Houston, TX by specialty
• Specialty Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.