Organization Active NPI

Colt Strategies LLC

Doing business as Tejas Pharmacy

  • Community/Retail Pharmacy
  • Pasadena, TX
National Provider Identifier
1104179696
Registry record updated Oct 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28256 Issued in TX
Legal business name
COLT STRATEGIES LLC
Doing business as
Tejas Pharmacy
Practice address
320 Southmore Ave Ste 325B
Pasadena, TX 77502-1135
Phone
(713) 472-3736
Fax
(713) 472-3628
NPI assigned
Oct 21, 2012
Last updated
Oct 21, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
COLT STRATEGIES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 21, 2012

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

Authorized official

Name
Mrs. Amy B Imber, RPH
Title
Co-Owner
Phone
(713) 419-6228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28256 TX Primary

Addresses

Primary practice location

320 Southmore Ave Ste 325B
Pasadena, TX 77502-1135

Mailing address

320 Southmore Ave Ste 325B
Pasadena, TX 77502-1135
Phone (713) 472-3736

Other names 1

  • Tejas Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Colt Strategies LLC2 organizations share this tax ID, including this one
Part of
Colt Strategies LLC

Other organizations with this tax ID 1

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

Locations

320 Southmore Ave
Ste 325B
Pasadena, TX 77502
Phone (713) 472-3736

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1350777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350777600000",
    "number": "1104179696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SOUTHMORE AVE STE 325B",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775021135",
            "telephone_number": "713-472-3736",
            "fax_number": "713-472-3628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SOUTHMORE AVE STE 325B",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775021135",
            "telephone_number": "713-472-3736",
            "fax_number": "713-472-3628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLT STRATEGIES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLT STRATEGIES LLC",
        "enumeration_date": "2012-10-21",
        "last_updated": "2012-10-21",
        "status": "A",
        "authorized_official_last_name": "IMBER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "713-419-6228",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "28256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tejas Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2012; 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.