Medtrix Pharmaceutical Wholesale Distribution Inc

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

MEDTRIX PHARMACEUTICAL WHOLESALE DISTRIBUTION INC

Practice address

8700 Commerce Park Drive
Suite 108-K
Houston, TX 77036

Phone

(409) 350-8167

Fax

(281) 741-9008

NPI assigned

Aug 18, 2021

Organization subpart

No

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

Authorized official

Name

Delphina C Mitima-Samuel, PHARMD

Title

President

Phone

(409) 350-8167

Specialties & licenses 1

Addresses

Other names 1

• MEDTRIX PHARMACEUTICAL WHOLESALE DISTRIBUTION INC Former legal business name

Locations

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1114693470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 COMMERCE PARK DRIVE",
            "address_2": "SUITE 108-K",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77036",
            "telephone_number": "409-350-8167",
            "fax_number": "281-741-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 COMMERCE PARK DRIVE",
            "address_2": "SUITE 108-K",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77036",
            "telephone_number": "409-350-8167",
            "fax_number": "281-741-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTRIX PHARMACEUTICAL WHOLESALE DISTRIBUTION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "MITIMA-SAMUEL",
        "authorized_official_first_name": "DELPHINA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-350-8167",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDTRIX PHARMACEUTICAL WHOLESALE DISTRIBUTION INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Non-Pharmacy Dispensing Site in Houston, TX
• Providers in Houston, TX by specialty
• Non-Pharmacy Dispensing Site in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.