Individual provider Active NPI

Charles Leslie McClure, BS

  • Pharmacist
  • Cypress, TX
National Provider Identifier
1063749935
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
36095 Issued in TX
Practice address
16211 Spring Cypress Rd
Cypress, TX 77429-1707
Phone
(281) 213-3675
Fax
(281) 213-3597
NPI assigned
Nov 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 36095 TX Primary

Addresses

Primary practice location

16211 Spring Cypress Rd
Cypress, TX 77429-1707

Mailing address

16211 Spring Cypress Rd
Cypress, TX 77429-1707
Phone (281) 213-3675

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
Credentials
Bachelor of Science

NPI Registry JSON

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257984000000",
    "number": "1063749935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16211 SPRING CYPRESS RD",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291707",
            "telephone_number": "281-213-3675",
            "fax_number": "281-213-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16211 SPRING CYPRESS RD",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291707",
            "telephone_number": "281-213-3675",
            "fax_number": "281-213-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "CHARLES",
        "middle_name": "LESLIE",
        "name_prefix": "Mr.",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-12",
        "last_updated": "2009-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "36095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.