NPIMap

Organization Active NPI

1960 Family Practice PA

Doing business as Express Specialty Pharmacy

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1154608933
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
27730 Issued in TX
Legal business name
1960 FAMILY PRACTICE PA
Doing business as
Express Specialty Pharmacy
Practice address
837 Cypress Creek Pkwy Ste 105a
Houston, TX 77090-3422
Phone
(281) 453-7205
Fax
(281) 453-7242
NPI assigned
Nov 8, 2011
Last updated
Jul 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Authorized official

Name
Marcia Smith
Title
Pic
Phone
(281) 453-7205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 27730 TX Primary

Addresses

Primary practice location

837 Cypress Creek Pkwy Ste 105a
Houston, TX 77090-3422

Mailing address

20320 Northwest Fwy Ste 900
Jersey Village, TX 77065-5620
Phone (281) 453-7918

Other identifiers 2

IdentifierTypeStateIssuer
146561MedicaidTX
2132793OtherPK

Other names 1

  • Express Specialty Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
1960 Family Practice PA5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

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": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1154608933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20320 NORTHWEST FWY STE 900",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770655620",
            "telephone_number": "281-453-7918",
            "fax_number": "281-453-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 CYPRESS CREEK PKWY STE 105A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903422",
            "telephone_number": "281-453-7205",
            "fax_number": "281-453-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1960 FAMILY PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "281-453-7205"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146561",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2132793",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Specialty 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 Jul 28, 2015; 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.