Organization Active NPI

Nanes Pharmacy LLC

  • Pharmacy
  • Houston, TX
National Provider Identifier
1164037594
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
NANES PHARMACY LLC
Practice address
17030 Nanes Dr Ste 105a
Houston, TX 77090-2503
Phone
(832) 666-2065
Fax
(832) 666-2089
NPI assigned
Sep 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Authorized official

Name
Mohammad Shabbir
Title
President
Phone
(281) 781-9796

Specialties & licenses 2

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

Addresses

Primary practice location

17030 Nanes Dr Ste 105a
Houston, TX 77090-2503

Mailing address

17030 Nanes Dr Ste 105a
Houston, TX 77090-2503
Phone (832) 666-2065

Other identifiers 1

IdentifierTypeStateIssuer
150321MedicaidTX

Other names 1

  • Nanes Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

17030 Nanes Dr
Ste 105A
Houston, TX 77090
Phone (832) 666-2065

NPI Registry JSON

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1164037594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17030 NANES DR STE 105A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902503",
            "telephone_number": "832-666-2065",
            "fax_number": "832-666-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17030 NANES DR STE 105A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902503",
            "telephone_number": "832-666-2065",
            "fax_number": "832-666-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANES PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-11",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "SHABBIR",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-781-9796"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150321",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nanes 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 Feb 17, 2022; 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.