Individual provider Active NPI

Elona Iljazi, PHARMD

  • Pharmacist
  • Houston, TX
National Provider Identifier
1083482129
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
74345 Issued in TX
Practice address
3501 Clear Lake City Blvd
Houston, TX 77059-2511
Phone
(281) 480-4721
Fax
(866) 388-9193
NPI assigned
Dec 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 74345 TX Primary

Addresses

Primary practice location

3501 Clear Lake City Blvd
Houston, TX 77059-2511

Mailing address

3501 Clear Lake City Blvd
Houston, TX 77059-2511
Phone (281) 480-4721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
74345TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
H-E-B, LP CurrentSince Dec 24, 2023 Accepting new patients
H-E-B, LP PastSince Dec 24, 2023 Accepting new patients

Locations

3501 Clear Lake City Blvd
Houston, TX 77059
Phone (281) 480-4721

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1083482129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 CLEAR LAKE CITY BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770592511",
            "telephone_number": "281-480-4721",
            "fax_number": "866-388-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 CLEAR LAKE CITY BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770592511",
            "telephone_number": "281-480-4721",
            "fax_number": "866-388-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILJAZI",
        "first_name": "ELONA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "74345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 26, 2024; 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.