Hazel'S Compunding RX Pharmacy

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

28357 Issued in TX

Legal business name

HAZEL'S COMPUNDING RX PHARMACY

Practice address

2404 Smith Ranch Rd
Suite 100
Pearland, TX 77584

Phone

(713) 340-0202

Fax

(713) 340-0203

NPI assigned

Nov 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Tracey Benson, PHARM.D.NPI 1659738334

Title

Managing Officer

Phone

(832) 264-7632

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Hazel'S Compunding RX 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.

• Hazel'S Compunding RX Pharmacy

  • Long Term Care Pharmacy
  • Pearland, TX
  • NPI 1912553348
  NPD tax ID

Locations

Practitioners 1

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

• Tracey Benson

  • Specialty Pharmacy
  • Pearland, TX
  • NPI 1659738334
  NPD Authorized official

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1073858288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 SMITH RANCH RD",
            "address_2": "SUITE #100",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "77584",
            "telephone_number": "713-340-0202",
            "fax_number": "713-340-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 SMITH RANCH RD",
            "address_2": "SUITE 100",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "77584",
            "telephone_number": "713-340-0202",
            "fax_number": "713-340-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZEL'S COMPUNDING RX PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "MANAGING OFFICER",
        "authorized_official_telephone_number": "832-264-7632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "28357",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "TX",
            "license": "28357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Hatch, RN
• Tom Hatter III
• Haven Adult Daycare & Transportation
• Kaleigh Haverly
• Tacori Hayes
• Hazel'S Compunding RX Pharmacy
• Hea Clinic PA
• Healing Hands Assisted Living LLC
• Healing Hands Theraputic Medical Services, Inc
• Healthy Life RX LLC.

• Compounding Pharmacy in Pearland, TX
• Providers in Pearland, TX by specialty
• Compounding Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.