Active NPI
Ali Atta
- Compounded Sterile Preparations Pharmacist
- Houston, TX
National Provider Identifier
1033932207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounded Sterile Preparations Pharmacist
- License
- 74039
- Practice address
- 6105 Beverlyhill St Ste 2
Houston, TX 77057-6715 - Phone
- (832) 487-9746
- NPI assigned
- Nov 5, 2024
- Last updated
- Nov 5, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Compounded Sterile Preparations Pharmacist | 1835C0207X | 74039 | TX | Primary |
Addresses
Primary practice location
6105 Beverlyhill St Ste 2
Houston, TX 77057-6715
Mailing address
6105 Beverlyhill St Ste 2
Houston, TX 77057-6715
Phone (832) 487-9746
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74039 | TX | MD | Medical license number |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1033932207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6105 BEVERLYHILL ST STE 2",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770576715",
"telephone_number": "832-487-9746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6105 BEVERLYHILL ST STE 2",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770576715",
"telephone_number": "832-487-9746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATTA",
"first_name": "ALI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-11-05",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "1835C0207X",
"taxonomy_group": "",
"desc": "Pharmacist, Compounded Sterile Preparations",
"state": "TX",
"license": "74039",
"primary": true
}
],
"identifiers": [],
"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 Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.