NPIMap

Organization Active NPI

P.S.P Enterprise Inc

Doing business as Studewood Pharmacy

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1063403806
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
15296 Issued in TX
Legal business name
P.S.P ENTERPRISE INC
Doing business as
Studewood Pharmacy
Practice address
427 W 20TH St Ste 105
Houston, TX 77008-2441
Phone
(713) 869-3487
Fax
(713) 869-0088
NPI assigned
Nov 1, 2005
Last updated
Jan 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Authorized official

Name
Saurabh Shah
Title
Owner
Phone
(713) 869-3487

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 15296 TX Primary

Addresses

Primary practice location

427 W 20TH St Ste 105
Houston, TX 77008-2441

Mailing address

427 W 20TH St
Suite 105
Houston, TX 77008-2441
Phone (713) 869-3487

Other identifiers 2

IdentifierTypeStateIssuer
143901MedicaidTX
4587638OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • STUDEWOOD PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heights-Studewood Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1063403806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 W 20TH ST",
            "address_2": "SUITE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770082441",
            "telephone_number": "713-869-3487",
            "fax_number": "713-869-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 W 20TH ST STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770082441",
            "telephone_number": "713-869-3487",
            "fax_number": "713-869-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.S.P ENTERPRISE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SAURABH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-869-3487"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "15296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4587638",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STUDEWOOD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 22, 2013; 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.