Organization Active NPI

Triumph Pharmacy LLC

  • Community/Retail Pharmacy
  • Magnolia, TX
National Provider Identifier
1083917660
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
27287 Issued in TX
Legal business name
TRIUMPH PHARMACY LLC
Practice address
7030 FM 1488 Rd # 110
Magnolia, TX 77354-4774
Phone
(281) 252-4200
Fax
(281) 252-4201
NPI assigned
Dec 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Authorized official

Name
Sandra How, PHARM.D.NPI 1275805889
Title
Owner/Pic
Phone
(281) 687-4695

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 27287 TX Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

7030 FM 1488 Rd # 110
Magnolia, TX 77354-4774

Mailing address

7030 FM 1488 Rd # 110
Magnolia, TX 77354-4774
Phone (281) 252-4200

Other identifiers 2

IdentifierTypeStateIssuer
2128089OtherPK
146312MedicaidTX

Other names 1

  • Triumph Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120410000478 TX Part B Supplier - Mass Immunization (Roster Biller Only) 6103087614 Practice locations: Magnolia, TX

National Provider Directory

National Provider Directory

Locations

7030 FM 1488 Rd
Ste 110
Magnolia, TX 77354
Phone (281) 252-4200

6875 FM 1488 Rd
Ste 300
Magnolia, TX 77354
Phone (281) 252-4200

Practitioners & affiliated clinicians

Practitioners 1

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": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1083917660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7030 FM 1488 RD # 110",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773544774",
            "telephone_number": "281-252-4200",
            "fax_number": "281-252-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7030 FM 1488 RD # 110",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773544774",
            "telephone_number": "281-252-4200",
            "fax_number": "281-252-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIUMPH PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "HOW",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "281-687-4695",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27287",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2128089",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146312",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triumph Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Magnolia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.