Active NPI
Eumana Home Dialysis Inc
- Community/Retail Pharmacy
- Houston, TX
National Provider Identifier
1174705354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 17448
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17448 | Other | TX | STATE LICENSE |
Other names 1
- EUMANA INFUISION SERVICES
National Provider Directory
National Provider DirectoryLocations
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.