PDPG LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

27265 Issued in TX

Legal business name

PDPG LLC

Doing business as

Willowbrook Pharmacy

Practice address

18720 State Highway 249 Ste a
Houston, TX 77070-4297

Phone

(281) 894-3103

Fax

(281) 894-3102

NPI assigned

Nov 29, 2010

Last updated

Dec 22, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Demethra Orion

Title

Owner/Manager

Phone

(281) 894-3103

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Willowbrook Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1033411996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18720 STATE HIGHWAY 249 STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704297",
            "telephone_number": "281-894-3103",
            "fax_number": "281-894-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18720 STATE HIGHWAY 249 STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704297",
            "telephone_number": "281-894-3103",
            "fax_number": "281-894-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDPG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "ORION",
        "authorized_official_first_name": "DEMETHRA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "281-894-3103"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5901980",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willowbrook Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Houston, TX
• Providers in Houston, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.