Organization Active NPI

Greenbusch Pharmacy Inc

  • Community/Retail Pharmacy
  • Katy, TX
National Provider Identifier
1043674518
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
30761 Issued in TX
Legal business name
GREENBUSCH PHARMACY INC
Practice address
26717 Westheimer Pkwy Ste 301
Katy, TX 77494-8058
Phone
(832) 437-1130
Fax
(832) 201-0839
NPI assigned
Apr 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Sylvie Leocadie Konhawa Kamdem, PHARM DNPI 1518294651
Title
Pic
Phone
(832) 437-1130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 30761 TX Primary

Addresses

Primary practice location

26717 Westheimer Pkwy Ste 301
Katy, TX 77494-8058

Mailing address

26717 Westheimer Pkwy Ste 301
Katy, TX 77494-8058
Phone (832) 437-1130

Other identifiers 2

IdentifierTypeStateIssuer
149414MedicaidTX
2159409OtherPK

Other names 1

  • Greenbusch Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160910000148 TX Part B Supplier - Mass Immunization (Roster Biller Only) 4789970138 Practice locations: Katy, TX

National Provider Directory

National Provider Directory

Locations

26717 Westheimer Pkwy
Ste 301
Katy, TX 77494
Phone (832) 437-1130

25757 Westheimer Pkwy
Ste 150
Katy, TX 77494
Phone (832) 437-1130

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1043674518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26717 WESTHEIMER PKWY STE 301",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948058",
            "telephone_number": "832-437-1130",
            "fax_number": "832-201-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26717 WESTHEIMER PKWY STE 301",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948058",
            "telephone_number": "832-437-1130",
            "fax_number": "832-201-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBUSCH PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "KONHAWA KAMDEM",
        "authorized_official_first_name": "SYLVIE LEOCADIE",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "832-437-1130",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "30761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149414",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159409",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenbusch Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greenbusch Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.