Organization Active NPI

Eumana Home Dialysis Inc

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1174705354
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
17448 Issued in TX
Legal business name
EUMANA HOME DIALYSIS INC
Practice address
1313 La Concha LN
Houston, TX 77054-1809
Phone
(713) 668-2744
Fax
(713) 795-5959
NPI assigned
Nov 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Dr. Abdul Mannan Khan, RPH
Title
Pharmacist in Charge
Phone
(713) 660-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 17448 TX Primary

Addresses

Primary practice location

1313 La Concha LN
Houston, TX 77054-1809

Mailing address

1313 La Concha LN
Houston, TX 77054-1809
Phone (713) 668-2744

Other identifiers 1

IdentifierTypeStateIssuer
17448OtherTXSTATE LICENSE

Other names 1

  • EUMANA INFUISION SERVICES Doing business as

National Provider Directory

National Provider Directory

Locations

1313 La Concha Ln
Houston, TX 77054
Phone (713) 668-2744

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1174705354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 LA CONCHA LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541809",
            "telephone_number": "713-668-2744",
            "fax_number": "713-795-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 LA CONCHA LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541809",
            "telephone_number": "713-668-2744",
            "fax_number": "713-795-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUMANA HOME DIALYSIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "MANNAN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "713-660-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "17448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE  LICENSE",
            "identifier": "17448",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EUMANA INFUISION SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 29, 2007; 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.