NPIMap

Organization Active NPI

Bluejay Pharmacy, LLC

  • Compounding Pharmacy
  • Spring, TX
National Provider Identifier
1154712974
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
29782 Issued in TX
Legal business name
BLUEJAY PHARMACY, LLC
Practice address
8344 Spring Cypress Rd
Suite a
Spring, TX 77379
Phone
(281) 251-0904
Fax
(281) 251-0905
NPI assigned
Feb 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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

Authorized official

Name
Dr. Kendra C McMullin, PHARMDNPI 1477944296
Title
Owner, Vice President, Pic
Phone
(281) 251-0904

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X 29782 TX Primary

Addresses

Primary practice location

8344 Spring Cypress Rd
Suite a
Spring, TX 77379

Mailing address

8344 Spring Cypress Rd
Suite a
Spring, TX 77379
Phone (281) 251-0904

National Provider Directory

National Provider Directory

Locations

8344 Spring Cypress Rd
#A
Spring, TX 77379
Phone (281) 251-0904

Practitioners & affiliated clinicians

Practitioners 1

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": "1424044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424044800000",
    "number": "1154712974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8344 SPRING CYPRESS RD",
            "address_2": "SUITE A",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77379",
            "telephone_number": "281-251-0904",
            "fax_number": "281-251-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8344 SPRING CYPRESS RD",
            "address_2": "SUITE A",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77379",
            "telephone_number": "281-251-0904",
            "fax_number": "281-251-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEJAY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-16",
        "last_updated": "2015-02-16",
        "status": "A",
        "authorized_official_last_name": "MCMULLIN",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER, VICE PRESIDENT, PIC",
        "authorized_official_telephone_number": "281-251-0904",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "TX",
            "license": "29782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.