Fairway Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

27154 Issued in TX

Legal business name

FAIRWAY PHARMACY LLC

Practice address

4912 Telephone Rd
Houston, TX 77087-3504

Phone

(713) 454-0211

Fax

(713) 454-0224

NPI assigned

Aug 12, 2010

Organization subpart

No

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

Authorized official

Name

Mustafa MussajiNPI 1659609725

Title

Pharmacist

Phone

(832) 630-6955

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Fairway Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mustafa Mussaji

  • Pharmacist
  • Pearland, TX
  • NPI 1659609725
  NPD Authorized official

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1154636322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4912 TELEPHONE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770873504",
            "telephone_number": "713-454-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4912 TELEPHONE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770873504",
            "telephone_number": "713-454-0211",
            "fax_number": "713-454-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRWAY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "MUSSAJI",
        "authorized_official_first_name": "MUSTAFA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "832-630-6955"
    },
    "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": "27154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148681",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2126307",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairway Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fairway Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan H. Fairfield-King, LCSW
• Ryan Andrew Fairfield, DO
• Morton W Fairleigh, D.D.S.,M.S.
• Fairview Primary Care & Health Services, Inc
• Fairview Primary Care and Health Services Inc
• Fairway Surgical Center, PA
• Faisal Khan, DDS, PLLC
• Hina Faisal, M.D.
• Faison & Faison, L.L.C.
• Faith Ambulance Service Inc.

• 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 May 24, 2021; 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.