Active NPI
Elite Pharmacy,Inc
- Community/Retail Pharmacy
- Houston, TX
National Provider Identifier
1144586249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 26316
- Legal business name
- ELITE PHARMACY,INC
- Practice address
- 740 W Little York Rd Ste C
Houston, TX 77091-2426 - Phone
- (281) 820-3060
- Fax
- (281) 820-3083
- NPI assigned
- Apr 3, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edrick Smith
- Title
- Managing Member
- Phone
- (832) 231-6566
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 26316 | TX | Primary |
Addresses
Primary practice location
740 W Little York Rd Ste C
Houston, TX 77091-2426
Mailing address
740 W Little York Rd Ste C
Houston, TX 77091
Phone (281) 820-3060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5905560 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Elite Pharmacy
National Provider Directory
National Provider DirectoryLocations
740 W Little York Rd
Ste C
Houston, TX 77091
Phone (281) 820-3060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333411200000",
"number": "1144586249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 W LITTLE YORK RD STE C",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77091",
"telephone_number": "281-820-3060",
"fax_number": "281-820-3083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 W LITTLE YORK RD STE C",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770912426",
"telephone_number": "281-820-3060",
"fax_number": "281-820-3083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE PHARMACY,INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-03",
"last_updated": "2012-04-03",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "EDRICK",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "832-231-6566"
},
"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": "26316",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "5905560",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Elite Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.