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
- Last updated
- Sep 16, 2022
- 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 | Physical Therapist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.