Active NPI
Capital Apothecary II, LLC
- Community/Retail Pharmacy
- Houston, TX
National Provider Identifier
1073210100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- CAPITAL APOTHECARY II, LLC
- Practice address
- 4306 Yoakum Blvd
Houston, TX 77006-5851 - Phone
- (713) 498-2112
- NPI assigned
- Feb 9, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deric Outley, MSN, DNP, RN
- Title
- Principal
- Phone
- (713) 498-2112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
4306 Yoakum Blvd
Houston, TX 77006-5851
Mailing address
1319 Richmond Ave Unit 667603
Houston, TX 77266-0073
Phone (713) 498-2112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1804503457 | Other | TX | FILING NUMBER |
Other names 1
- District Pharmacy
National Provider Directory
National Provider DirectoryLocations
4306 Yoakum Blvd
Houston, TX 77006
Phone (832) 205-9120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675900800000",
"number": "1073210100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1319 RICHMOND AVE UNIT 667603",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772660073",
"telephone_number": "713-498-2112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4306 YOAKUM BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770065851",
"telephone_number": "713-498-2112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPITAL APOTHECARY II, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-09",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A",
"authorized_official_last_name": "OUTLEY",
"authorized_official_first_name": "DERIC",
"authorized_official_title_or_position": "PRINCIPAL",
"authorized_official_telephone_number": "713-498-2112",
"authorized_official_credential": "MSN, DNP, RN"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FILING NUMBER",
"identifier": "1804503457",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "District 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 Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.