TD Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28045 Issued in TX

Legal business name

TD PHARMACY

Practice address

12319 Bellaire Blvd Ste 400
Houston, TX 77072-2590

Phone

(281) 741-8472

Fax

(281) 741-8456

NPI assigned

May 15, 2012

Organization subpart

No

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

Authorized official

Name

Chris Simdon

Title

Dir of Admin & Compliance

Phone

(214) 563-9799

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• TD PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1144589847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12319 BELLAIRE BLVD STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770722590",
            "telephone_number": "281-741-8472",
            "fax_number": "281-741-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12319 BELLAIRE BLVD STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770722590",
            "telephone_number": "281-741-8472",
            "fax_number": "281-741-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TD PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-15",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "SIMDON",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "DIR OF ADMIN & COMPLIANCE",
        "authorized_official_telephone_number": "214-563-9799"
    },
    "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": "28045",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135211",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146579",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Houston, TX
• Providers in Houston, 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 Dec 22, 2016; 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.