Organization Active NPI

Nigro Dermatology Group, P.a.

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1073910089
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
29418 Issued in TX
Legal business name
NIGRO DERMATOLOGY GROUP, P.A.
Practice address
7700 San Felipe St Ste 492
Houston, TX 77063-1630
Phone
(832) 831-9480
Fax
(832) 831-9481
NPI assigned
Nov 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Authorized official

Name
Mr. Blake Lancaster
Title
Pharmacy Manager
Phone
(205) 795-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 29418 TX Primary

Addresses

Primary practice location

7700 San Felipe St Ste 492
Houston, TX 77063-1630

Mailing address

7700 San Felipe St Ste 492
Houston, TX 77063-1630
Phone (832) 831-9480

Other names 1

  • West Ave Pharmacy Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0493243Nigro Dermatology Group PA7700 San Felipe Suite 492, Houston, TX 77063Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

7700 San Felipe St
Ste 492
Houston, TX 77063
Phone (713) 981-4444

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1073910089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 SAN FELIPE ST STE 492",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770631630",
            "telephone_number": "832-831-9480",
            "fax_number": "832-831-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 SAN FELIPE ST STE 492",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770631630",
            "telephone_number": "832-831-9480",
            "fax_number": "832-831-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIGRO DERMATOLOGY GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-20",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "LANCASTER",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "205-795-8800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Ave Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Ave 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 Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.