Organization Active NPI

Priceline Pharmacy

  • Community/Retail Pharmacy
  • Pearland, TX
National Provider Identifier
1033412366
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
27262 Issued in TX
Legal business name
PRICELINE PHARMACY
Practice address
8603 Broadway St Ste 107
Pearland, TX 77584-8172
Phone
(281) 485-7777
Fax
(281) 485-7784
NPI assigned
Dec 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Authorized official

Name
Kenneth Yaafi
Title
Pharmacist-in-Charge
Phone
(281) 904-2552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 27262 TX Primary

Addresses

Primary practice location

8603 Broadway St Ste 107
Pearland, TX 77584-8172

Mailing address

8603 Broadway St Ste 107
Pearland, TX 77584-8172
Phone (281) 485-7777

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1033412366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8603 BROADWAY ST STE 107",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848172",
            "telephone_number": "281-485-7777",
            "fax_number": "281-485-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8603 BROADWAY ST STE 107",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848172",
            "telephone_number": "281-485-7777",
            "fax_number": "281-485-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRICELINE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "YAAFI",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "281-904-2552"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.