Organization Active NPI

Five Star Care Inc.

  • Community/Retail Pharmacy
  • Crosby, TX
National Provider Identifier
1124660634
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FIVE STAR CARE INC.
Practice address
14405 FM 2100 Rd Ste C
Crosby, TX 77532-6586
Phone
(281) 462-4480
Fax
(281) 328-7777
NPI assigned
Oct 16, 2019
Last updated
Oct 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
Ghada RedwanNPI 1215573258
Title
Manager
Phone
(936) 681-8335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

14405 FM 2100 Rd Ste C
Crosby, TX 77532-6586

Mailing address

14405 FM 2100 Rd Ste C
Crosby, TX 77532-6586
Phone (281) 462-4480

Other identifiers 1

IdentifierTypeStateIssuer
150145MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Five Star Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

108B N Main St
Dayton, TX 77535
Phone (936) 681-8335

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1124660634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14405 FM 2100 RD STE C",
            "city": "CROSBY",
            "state": "TX",
            "postal_code": "775326586",
            "telephone_number": "281-462-4480",
            "fax_number": "281-328-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14405 FM 2100 RD STE C",
            "city": "CROSBY",
            "state": "TX",
            "postal_code": "775326586",
            "telephone_number": "281-462-4480",
            "fax_number": "281-328-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-16",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "REDWAN",
        "authorized_official_first_name": "GHADA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "936-681-8335"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150145",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crosby, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.