Organization Active NPI

Complete RPH RX Services

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1154655322
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
COMPLETE RPH RX SERVICES
Practice address
5627 Aldine Bender Rd Ste 7
Houston, TX 77032-4534
Phone
(281) 227-1010
Fax
(281) 227-1015
NPI assigned
Sep 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Authorized official

Name
Detra Hubert BoykinNPI 1588254015
Title
Owner / Pharmacist-in-Charge
Phone
(281) 227-1010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 29039 TX
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

5627 Aldine Bender Rd Ste 7
Houston, TX 77032-4534

Mailing address

5627 Aldine Bender Rd Ste 7
Houston, TX 77032-4534
Phone (281) 227-1010

Other identifiers 2

IdentifierTypeStateIssuer
148226MedicaidTX
2146399OtherPK

Other names 1

  • Platinum Rx North Doing business as

National Provider Directory

National Provider Directory

Locations

5420 West Loop S
Ste 1500
Bellaire, TX 77401
Phone (713) 667-6777

5627 Aldine Bender Rd
Ste 7
Houston, TX 77032
Phone (281) 227-1010

5627 Aldine Bender Rd
Houston, TX 77032
Phone (281) 227-1010

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1154655322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5627 ALDINE BENDER RD STE 7",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770324534",
            "telephone_number": "281-227-1010",
            "fax_number": "281-227-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5627 ALDINE BENDER RD STE 7",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770324534",
            "telephone_number": "281-227-1010",
            "fax_number": "281-227-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE RPH RX SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "BOYKIN",
        "authorized_official_first_name": "DETRA",
        "authorized_official_middle_name": "HUBERT",
        "authorized_official_title_or_position": "OWNER / PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "281-227-1010"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "29039",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148226",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146399",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Platinum Rx North",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Platinum Rx North",
            "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 Dec 21, 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.