Active NPI
Nigro Dermatology Group, P.a.
- Community/Retail Pharmacy
- Houston, TX
National Provider Identifier
1073910089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 29418
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0493243 | Nigro Dermatology Group PA | Provider-performed microscopy | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Specialist
- Houston, TX
- NPI 1629043419
-
- Specialist
- Houston, TX
- NPI 1992770234
-
- Pharmacist
- Houston, TX
- NPI 1679113393
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.