Organization Active NPI

Medela Pharmacy Inc

  • Pharmacy
  • Houston, TX
National Provider Identifier
1174120562
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
MEDELA PHARMACY INC
Practice address
6550 Mapleridge St Ste 200
Houston, TX 77081-4647
Phone
(713) 434-6557
NPI assigned
Oct 8, 2020
Last updated
Oct 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Authorized official

Name
Ghislaine Kouamou
Title
Officer/ Pharmacist-in-Charge
Phone
(281) 253-8073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

6550 Mapleridge St Ste 200
Houston, TX 77081-4647

Mailing address

4771 Sweetwater Blvd # 197
Sugar Land, TX 77479-3121

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1174120562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4771 SWEETWATER BLVD # 197",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 MAPLERIDGE ST STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770814647",
            "telephone_number": "713-434-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDELA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "KOUAMOU",
        "authorized_official_first_name": "GHISLAINE",
        "authorized_official_title_or_position": "OFFICER/ PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "281-253-8073"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "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 Oct 8, 2020; 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.