Organization Active NPI

TB Care Pharmacy

  • Community/Retail Pharmacy
  • Cypress, TX
National Provider Identifier
1154435147
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
25060 Issued in TX
Legal business name
TB CARE PHARMACY
Practice address
11734 Grant Rd
Cypress, TX 77429-2982
Phone
(281) 257-8809
Fax
(281) 257-8901
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Thai Pham
Title
Owner
Phone
(281) 257-8809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 25060 TX Primary

Addresses

Primary practice location

11734 Grant Rd
Cypress, TX 77429-2982

Mailing address

11734 Grant Rd
Cypress, TX 77429-2982

Other identifiers 2

IdentifierTypeStateIssuer
4541199OtherOTHER ID NUMBER
145674MedicaidTX

National Provider Directory

National Provider Directory

Locations

11734 Grant Rd
Cypress, TX 77429
Phone (281) 257-8809

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1154435147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11734 GRANT RD",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774292982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11734 GRANT RD",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774292982",
            "telephone_number": "281-257-8809",
            "fax_number": "281-257-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TB CARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "THAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-257-8809"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "25060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4541199",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145674",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.