Pharm House Conroe LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

31795 Issued in TX

Legal business name

PHARM HOUSE CONROE LLC

Doing business as

Pharm House Drug - Conroe, LLC.

Practice address

690 S Loop 336 W Ste 100
Conroe, TX 77304-3320

Phone

(936) 539-4900

Fax

(936) 539-4920

NPI assigned

Jan 24, 2018

Organization subpart

No

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

Authorized official

Name

Jennifer Lamb

Title

Compliance Officer

Phone

(770) 474-7693

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• Pharm House Drug - Conroe, LLC. Doing business as
• PHARM HOUSE DRUG - CONROE LLC Other name

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1164920237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302530580",
            "telephone_number": "770-474-7693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 S LOOP 336 W STE 100",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043320",
            "telephone_number": "936-539-4900",
            "fax_number": "936-539-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARM HOUSE CONROE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "LAMB",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "770-474-7693"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "31795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175573",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharm House Drug - Conroe, LLC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PHARM HOUSE DRUG - CONROE LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jonathan Khanh Pham
• Pearl Pham
• Tai Phan
• Vy Phan, D.O.
• Hugh Scott Pharies
• Pharmacy Investment Associates LLC
• Sarah Mary Philip, D.O.
• Jamie Jaterra Phillips, MEDICAL ASSISTANT
• Messellina Phillips
• Anh Phung, MD

• Community/Retail Pharmacy in Conroe, TX
• Providers in Conroe, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.