Active NPI
JVN Creative Care Inc
- Community/Retail Pharmacy
- Sealy, TX
National Provider Identifier
1164894507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 30282
- Legal business name
- JVN CREATIVE CARE INC
- Doing business as
- Sealy Pharmacy
- Practice address
- 707 Meyer St
Sealy, TX 77474-2715 - Phone
- (979) 256-3045
- Fax
- (979) 256-3101
- NPI assigned
- Oct 26, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vanessa Lynn Meza
- Title
- Admin
- Phone
- (979) 256-3045
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 30282 | TX | Primary |
Addresses
Primary practice location
707 Meyer St
Sealy, TX 77474-2715
Mailing address
707 Meyer St
Sealy, TX 77474-2715
Phone (979) 256-3045
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2154839 | Other | PK |
Other names 1
- Sealy Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181226000233 | TX | Part B Supplier - Pharmacy | 1850636622 | Practice locations: Sealy, TX |
National Provider Directory
National Provider Directory- Tax ID family
- JVN Creative Care Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Sealy, TX
- NPI 1043718851
Locations
707 Meyer St
Sealy, TX 77474
Phone (979) 256-3045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1545177600000",
"number": "1164894507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 MEYER ST",
"city": "SEALY",
"state": "TX",
"postal_code": "774742715",
"telephone_number": "979-256-3045",
"fax_number": "979-256-3101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 MEYER ST",
"city": "SEALY",
"state": "TX",
"postal_code": "774742715",
"telephone_number": "979-256-3045",
"fax_number": "979-256-3101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JVN CREATIVE CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-26",
"last_updated": "2018-12-19",
"status": "A",
"authorized_official_last_name": "MEZA",
"authorized_official_first_name": "VANESSA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "979-256-3045"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "30282",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2154839",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sealy Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Sealy Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Sealy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.