Organization Active NPI

Essentials Pharmacy, LLC

  • Community/Retail Pharmacy
  • Dickinson, TX
National Provider Identifier
1093359671
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ESSENTIALS PHARMACY, LLC
Practice address
451 FM 646 Rd E Ste C1
Dickinson, TX 77539-3010
Phone
(281) 888-9159
Fax
(281) 501-9909
NPI assigned
Nov 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Authorized official

Name
Cortney Morris
Title
Officer
Phone
(281) 888-9159

Specialties & licenses 1

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

Addresses

Primary practice location

451 FM 646 Rd E Ste C1
Dickinson, TX 77539-3010

Mailing address

451 FM 646 Rd E Ste C1
Dickinson, TX 77539-3010
Phone (281) 888-9159

Other identifiers 1

IdentifierTypeStateIssuer
150305MedicaidTX

National Provider Directory

National Provider Directory

Locations

451 FM 646 Rd E
Ste C1
Dickinson, TX 77539
Phone (281) 888-9159

3934 Old Spanish Trl
Ste C
Houston, TX 77021
Phone (347) 209-6409

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1093359671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 FM 646 RD E STE C1",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775393010",
            "telephone_number": "281-888-9159",
            "fax_number": "281-501-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 FM 646 RD E STE C1",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775393010",
            "telephone_number": "281-888-9159",
            "fax_number": "281-501-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIALS PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-06",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "CORTNEY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "281-888-9159"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150305",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.