Organization Active NPI

Capital Apothecary II, LLC

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1073210100
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Feb 9, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1804503457OtherTXFILING NUMBER

Other names 1

  • District Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.