Deliverit Pharmacy Clear Lake Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

DELIVERIT PHARMACY CLEAR LAKE INC.

Practice address

600 N Kobayashi Ste 113
Webster, TX 77598-4840

Phone

(281) 724-4828

Fax

(281) 724-4826

NPI assigned

Apr 22, 2019

Organization subpart

No

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

Authorized official

Name

Ehab M Abughazaleh

Title

Ceo

Phone

(713) 562-6775

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Tax ID family

Deliverit Pharmacy Clear Lake Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Deliverit Pharmacy Clear Lake Inc.

  • Long Term Care Pharmacy
  • Webster, TX
  • NPI 1366212755
  NPD tax ID

Locations

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1093378366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12144 DAIRY ASHFORD RD STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774786212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N KOBAYASHI STE 113",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984840",
            "telephone_number": "281-724-4828",
            "fax_number": "281-724-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELIVERIT PHARMACY CLEAR LAKE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-22",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "ABUGHAZALEH",
        "authorized_official_first_name": "EHAB",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-562-6775"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "32559",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Edith De Leon, MD
• Melissa Stanlake Defilippis, MD
• Catherine Delaney
• Christie Delaune, CRNA
• Sarah Delgreco
• Deliverit Pharmacy Clear Lake Inc.
• Michelyn Grace Valle Delos Reyes, APRN-CNP, AGACNP-BC
• Richard W Demmler, M.D.
• Tyrus J Demouchet, O.D.
• Joseph Denham

• Community/Retail Pharmacy in Webster, TX
• Providers in Webster, 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 Jan 5, 2024; 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.