Organization Active NPI

Willowbend Pharma Select LLC

  • Compounding Pharmacy
  • Houston, TX
National Provider Identifier
1174400956
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
WILLOWBEND PHARMA SELECT LLC
Practice address
3610 Willowbend Blvd Ste 1020
Houston, TX 77054-1113
Phone
(832) 628-3260
NPI assigned
Aug 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Nicholl Marling
Title
Contracts Manager
Phone
(727) 667-1071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X Primary

Addresses

Primary practice location

3610 Willowbend Blvd Ste 1020
Houston, TX 77054-1113

Mailing address

3610 Willowbend Blvd Ste 1020
Houston, TX 77054-1113
Phone (832) 628-3260

National Provider Directory

National Provider Directory

Locations

3610 Willowbend Blvd
Ste 1020
Houston, TX 77054
Phone (832) 628-3260

NPI Registry JSON

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

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1174400956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 WILLOWBEND BLVD STE 1020",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541113",
            "telephone_number": "832-628-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 WILLOWBEND BLVD STE 1020",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541113",
            "telephone_number": "832-628-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWBEND PHARMA SELECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "MARLING",
        "authorized_official_first_name": "NICHOLL",
        "authorized_official_title_or_position": "CONTRACTS MANAGER",
        "authorized_official_telephone_number": "727-667-1071"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding 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 Aug 21, 2025; 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.