NPIMap

Organization Active NPI

Stephen F Austin Community Health Center, Inc

  • Community/Retail Pharmacy
  • League City, TX
National Provider Identifier
1013580935
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
STEPHEN F AUSTIN COMMUNITY HEALTH CENTER, INC
Practice address
2360 Gulf Fwy S Ste 100-C
League City, TX 77573-6448
Phone
(281) 824-1470
Fax
(281) 643-6997
NPI assigned
Jul 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Brandy Smith
Title
Credentialing Coordinator
Phone
(281) 824-1480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2360 Gulf Fwy S Ste 100-C
League City, TX 77573-6448

Mailing address

2360 Gulf Fwy S Ste 100-C
League City, TX 77573-6448
Phone (281) 824-1470

Other names 1

  • CHN Pharmacy #200 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CHN Pharmacy25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Locations

2360 Gulf Fwy S
Ste 100C
League City, TX 77573
Phone (281) 554-0123

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1013580935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 GULF FWY S STE 100-C",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775736448",
            "telephone_number": "281-824-1470",
            "fax_number": "281-643-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 GULF FWY S STE 100-C",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775736448",
            "telephone_number": "281-824-1470",
            "fax_number": "281-643-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN F AUSTIN COMMUNITY HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "281-824-1480"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHN Pharmacy #200",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.