St. Joseph Prof. Pharmacy, Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

License

15000 Issued in TX

Legal business name

ST. JOSEPH PROF. PHARMACY, INC.

Practice address

2000 Crawford St Ste 104
Houston, TX 77002-9006

Phone

(713) 659-3030

Fax

(713) 659-3044

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Guadalupe R Casas, R.PH.

Title

President

Phone

(713) 659-3030

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1043324528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1365",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774101365",
            "telephone_number": "713-659-3030",
            "fax_number": "713-659-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CRAWFORD ST STE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770029006",
            "telephone_number": "713-659-3030",
            "fax_number": "713-659-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH PROF. PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "CASAS",
        "authorized_official_first_name": "GUADALUPE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-659-3030",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "15000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012038801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• St. Joseph Diagnostic Clinic, Inc.
• St. Joseph'S Ambulance Service, Inc.
• St. Jude Dental P.C
• Trennessa St. Julien
• Matthew J St. Laurent, MD
• Melanie E St. Laurent, NP

• Pharmacist in Houston, TX
• Providers in Houston, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.