Individual provider Active NPI

Carlos Amador Zavala, PHARMD

  • Pharmacist
  • Houston, TX
National Provider Identifier
1104581099
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28303 Issued in MD
Practice address
12097 Veterans Memorial Dr
Houston, TX 77067-1001
Phone
(281) 444-6304
Fax
(281) 444-1390
NPI assigned
Nov 4, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28303 MD Primary

Addresses

Primary practice location

12097 Veterans Memorial Dr
Houston, TX 77067-1001

Mailing address

9322 Wandsworth Dr
Spring, TX 77379-9406
Phone (438) 142-2164

Other practice location 1

10410 York Rd
Cockeysville, MD 21030-2502
Phone (410) 628-8390

Other practice location 2

1416 E Lanvale St
Baltimore, MD 21213-2218
Phone (443) 814-2216

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL securerecords.sandford.html walgreens pharmacy

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
28303MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Sep 20, 2022 Accepting new patients
Walgreen Co PastSince Sep 20, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1104581099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9322 WANDSWORTH DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773799406",
            "telephone_number": "438-142-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12097 VETERANS MEMORIAL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770671001",
            "telephone_number": "281-444-6304",
            "fax_number": "281-444-1390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10410 York Rd",
            "address_purpose": "LOCATION",
            "city": "Cockeysville",
            "state": "MD",
            "postal_code": "210302502",
            "country_code": "US",
            "telephone_number": "410-628-8390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1416 E Lanvale St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212132218",
            "country_code": "US",
            "telephone_number": "443-814-2216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMADOR ZAVALA",
        "first_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-04",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "28303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "securerecords.sandford.html",
            "affiliation": "Y",
            "affiliationName": "walgreens pharmacy",
            "address_1": "10410 York Rd",
            "city": "Cockeysville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210302502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.