Hagop Vahe Derkhorenian, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

72099 Issued in TX

Practice address

8035 Highway 6 Ste 130
Missouri City, TX 77459-2818

Phone

(281) 915-2166

Fax

(281) 915-2164

NPI assigned

May 22, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elite RX Compounding and Pharmacy LLC

  • Community/Retail Pharmacy
  • Missouri City, TX
  • NPI 1396411849
  NPD

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1144912916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3806 PORTUGUESE BEND CT",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595019",
            "telephone_number": "832-441-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8035 HIGHWAY 6 STE 130",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592818",
            "telephone_number": "281-915-2166",
            "fax_number": "281-915-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERKHORENIAN",
        "first_name": "HAGOP",
        "middle_name": "VAHE",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "72099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.