Active NPI
Carlos Amador Zavala, PHARMD
- Pharmacist
- Houston, TX
National Provider Identifier
1104581099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28303
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 28303 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | 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.
-
- Pharmacy
- Houston, TX
- NPI 1093720005
-
- Pharmacy
- Longview, TX
- NPI 1629956545
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.