Active NPI
Lockwood Professional BLDG Phcy
- Community/Retail Pharmacy
- Houston, TX
National Provider Identifier
1023195997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 22853
- Legal business name
- LOCKWOOD PROFESSIONAL BLDG PHCY
- Practice address
- 4315 Lockwood Dr
Houston, TX 77026-4117 - Phone
- (713) 672-2262
- Fax
- (713) 671-9941
- NPI assigned
- Oct 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Freddie Brown
- Title
- Oper Mang
- Phone
- (832) 277-1503
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 22853 | TX | Primary |
Addresses
Primary practice location
4315 Lockwood Dr
Houston, TX 77026-4117
Mailing address
4315 Lockwood Dr
Houston, TX 77026-4117
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 144816 | Medicaid | TX | |
| 145311 | Medicaid | TX | |
| 4501145 | Other | OTHER ID NUMBER |
National Provider Directory
National Provider DirectoryLocations
4315 Lockwood Dr
Houston, TX 77026
Phone (713) 670-0975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215648000000",
"number": "1023195997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4315 LOCKWOOD DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770264117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4315 LOCKWOOD DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770264117",
"telephone_number": "713-672-2262",
"fax_number": "713-671-9941"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOCKWOOD PROFESSIONAL BLDG PHCY",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-31",
"last_updated": "2008-07-10",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "FREDDIE",
"authorized_official_title_or_position": "OPER MANG",
"authorized_official_telephone_number": "832-277-1503"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "22853",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "144816",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "145311",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "4501145",
"state": null
}
],
"endpoints": [],
"other_names": []
}
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 Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.