Organization Active NPI

MK Pharmacy,LLC

  • Pharmacy
  • Houston, TX
National Provider Identifier
1013499797
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
MK PHARMACY,LLC
Practice address
18006 Park Row Dr
Suite 350
Houston, TX 77084
Phone
(713) 269-6579
NPI assigned
Aug 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Authorized official

Name
Malak KhoudayNPI 1700367885
Title
Owner/Pharmacist in Charge
Phone
(713) 269-6579

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

18006 Park Row Dr
Suite 350
Houston, TX 77084

Mailing address

14419 Tivoli Dr
Houston, TX 77077-1046

Other identifiers 1

IdentifierTypeStateIssuer
IFROW1400OtherTXHIN

Other names 1

  • MK Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

18006 Park Row
Ste 350
Houston, TX 77084
Phone (281) 202-5059

Practitioners & affiliated clinicians

Practitioners 1

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": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535587200000",
    "number": "1013499797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14419 TIVOLI DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770771046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18006 PARK ROW DR",
            "address_2": "SUITE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77084",
            "telephone_number": "713-269-6579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MK PHARMACY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A",
        "authorized_official_last_name": "KHOUDAY",
        "authorized_official_first_name": "MALAK",
        "authorized_official_title_or_position": "OWNER/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "713-269-6579"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIN",
            "identifier": "IFROW1400",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MK Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MK Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.