Pearland Unicare Pharmacy LLC
Organization Active NPI Community/Retail Pharmacy · Houson, TX
NPI 1164076618 · NPPES record last updated Jun 14, 2022
Key facts
- NPI
- 1164076618
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- PEARLAND UNICARE PHARMACY LLC
- Practice address
- 7400 Fannin Street Suite 120
Houson, TX 77054 - Phone
- (346) 293-9096
- NPI assigned
- Aug 1, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Dalia Abdelhalim, PHARMD
- Title
- Owner
- Phone
- (713) 360-6854
Other NPIs on the same Medicare enrollment 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200414001377 | TX | Part B Supplier - Pharmacy | 7315373917 |
2 other NPIs on this enrollment Practice locations: Houston, TX; Pearland, TX; Webster, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes | ||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
7400 Fannin Street Suite 120
Houson, TX 77054
Mailing address
3569 Business Center Dr Ste 110
Pearland, TX 77584-1913
Phone (713) 360-6854
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150208 | Medicaid | TX |
Other names
- Pyramids Pharmacy TMC
Other providers in Houson, TX
All providers in Houson, TX · Community/Retail Pharmacy in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.