Genesis RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

26880 Issued in TX

Legal business name

GENESIS RX LLC

Doing business as

Genesis RX

Practice address

1485 FM 1960 Bypass Rd E Ste 370
Humble, TX 77338-3964

Phone

(888) 474-4832

Fax

(210) 468-8267

NPI assigned

Mar 8, 2010

Organization subpart

No

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

Authorized official

Name

Charles Bree

Title

President

Phone

(732) 703-1895

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Genesis RX Doing business as

Locations

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1093038945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 FM 1960 BYPASS RD E",
            "address_2": "STE # 370",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773383964",
            "telephone_number": "888-474-4832",
            "fax_number": "210-468-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 FM 1960 BYPASS RD E STE 370",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773383964",
            "telephone_number": "888-474-4832",
            "fax_number": "210-468-8267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "BREE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-703-1895"
    },
    "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": "26880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2124084",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Humble, TX
• Providers in Humble, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.