Calvary Pharmaceutical Services LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CALVARY PHARMACEUTICAL SERVICES LLC

Practice address

17115 Red Oak Dr Ste 105
Houston, TX 77090-2607

Phone

(346) 323-6161

Fax

(346) 323-6171

NPI assigned

Mar 2, 2017

Organization subpart

No

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

Authorized official

Name

Dorathy Chiamaka Ubah

Title

Managing Officer

Phone

(844) 404-4377

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Akosua Adu Addai, PHARMD

  • Pharmacist
  • Houston, TX
  • NPI 1104417583
  NPD

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1013457597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17115 RED OAK DR STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902607",
            "telephone_number": "346-323-6161",
            "fax_number": "346-323-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17115 RED OAK DR STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902607",
            "telephone_number": "346-323-6161",
            "fax_number": "346-323-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVARY PHARMACEUTICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "UBAH",
        "authorized_official_first_name": "DORATHY",
        "authorized_official_middle_name": "CHIAMAKA",
        "authorized_official_title_or_position": "MANAGING OFFICER",
        "authorized_official_telephone_number": "844-404-4377"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168191",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Calvary Care Group Inc
• Calvary Care Group Inc
• Calvary Care Group, Inc.
• Calvary Care Group, Inc.
• Calvary Center
• Cassandra Calvillo
• Kristian David Calvillo
• Octavio J Calvillo, M.D.
• Calvin Jung
• Calvin N Tsao MD PA

• Community/Retail Pharmacy in Houston, TX
• Providers in Houston, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.