South Mason Road Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

27314 Issued in TX

Legal business name

SOUTH MASON ROAD PHARMACY

Practice address

515A S Mason Rd
Katy, TX 77450-2491

Phone

(281) 829-6960

Fax

(281) 829-6963

NPI assigned

Jan 14, 2011

Organization subpart

No

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

Authorized official

Name

Patricia Davis

Title

Pharmacy in Charge

Phone

(281) 829-6960

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• SOUTH MASON ROAD PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1124323605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515A S MASON RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502491",
            "telephone_number": "281-829-6960",
            "fax_number": "281-829-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515A S MASON RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502491",
            "telephone_number": "281-829-6960",
            "fax_number": "281-829-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MASON ROAD PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-14",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PHARMACY IN CHARGE",
        "authorized_official_telephone_number": "281-829-6960"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5902374",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH MASON ROAD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George Soto
• Kacee A. Soto, LPC
• Sound Health Practice LLC
• South Healthcare Management Inc.
• South Katy Medical Clinic, P.a.
• South Peek Dental Care PLLC
• South Texas Children and Family Services
• South Texas Children and Family Services
• South Texas Rdi Group LLC
• Southern Dental at Katy PLLC

• Community/Retail Pharmacy in Katy, TX
• Providers in Katy, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.