Organization Active NPI

Lockwood Professional BLDG Phcy

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1023195997
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
22853 Issued in TX
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

Updated by the provider on Jul 10, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
144816MedicaidTX
145311MedicaidTX
4501145OtherOTHER ID NUMBER

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.