NPIMap

Organization Active NPI

Prucare Pharmacy

  • Specialty Pharmacy
  • Houston, TX
National Provider Identifier
1154866317
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
PRUCARE PHARMACY
Practice address
9219 Main St
Houston, TX 77025-4419
Phone
(713) 661-7300
NPI assigned
Dec 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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

Authorized official

Name
Andre Reid
Title
Clinical Director
Phone
(832) 495-8080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

9219 Main St
Houston, TX 77025-4419

Mailing address

9219 Main St
Houston, TX 77025-4419
Phone (713) 661-7300

National Provider Directory

National Provider Directory
Tax ID family
Prucare Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

9219 Main St
Houston, TX 77025
Phone (713) 661-7300

NPI Registry JSON

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

{
    "created_epoch": "1482796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482796800000",
    "number": "1154866317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9219 MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770254419",
            "telephone_number": "713-661-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9219 MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770254419",
            "telephone_number": "713-661-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUCARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-27",
        "last_updated": "2016-12-27",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "832-495-8080"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 27, 2016; 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.