Organization Active NPI

The Devereux Foundation

  • Pharmacy
  • League City, TX
National Provider Identifier
1033168034
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
THE DEVEREUX FOUNDATION
Doing business as
Devereux Texas Treatment Network
Practice address
1150 Devereux Drive
League City, TX 77573-2043
Phone
(833) 353-2063
Fax
(281) 316-5448
NPI assigned
May 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Mrs. Christy M Barr, MHA, RPH
Title
VP/Chief Pharmacy Officer
Phone
(215) 378-2791

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Institutional Pharmacy 3336I0012X
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

1150 Devereux Drive
League City, TX 77573-2043

Mailing address

1150 Devereux Drive
League City, TX 77573-2043
Phone (833) 353-2063

Other identifiers 3

IdentifierTypeStateIssuer
4595130OtherTXNCPDP
250405MedicaidTX
9000192330MedicaidCO

Other names 1

  • Devereux Texas Treatment Network Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Devereux Florida331 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1033168034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 DEVEREUX DRIVE",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732043",
            "telephone_number": "833-353-2063",
            "fax_number": "281-316-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 DEVEREUX DRIVE",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732043",
            "telephone_number": "833-353-2063",
            "fax_number": "281-316-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DEVEREUX FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2023-09-27",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "BARR",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP/CHIEF PHARMACY OFFICER",
        "authorized_official_telephone_number": "215-378-2791",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHA, RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4595130",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250405",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000192330",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Devereux Texas Treatment Network",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Devereux Texas Treatment Network",
            "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 Sep 27, 2023; 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.