Proven Care Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

26758 Issued in TX

Legal business name

PROVEN CARE PHARMACY LLC

Practice address

10950 Bissonnet St Ste 220
Houston, TX 77099-1715

Phone

(281) 983-9333

Fax

(281) 983-9335

NPI assigned

Jan 7, 2010

Organization subpart

No

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

Authorized official

Name

Godswill Unachukwu

Title

Corp-President

Phone

(281) 983-9333

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Proven Care Pharmacy, LLC Doing business as

Locations

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1174853535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13307 LARKHILL GARDENS LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774987603",
            "telephone_number": "281-983-9333",
            "fax_number": "281-983-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10950 BISSONNET ST STE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770991715",
            "telephone_number": "281-983-9333",
            "fax_number": "281-983-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVEN CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-07",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "UNACHUKWU",
        "authorized_official_first_name": "GODSWILL",
        "authorized_official_title_or_position": "CORP-PRESIDENT",
        "authorized_official_telephone_number": "281-983-9333"
    },
    "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": "26758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2123398",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148917",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proven Care Pharmacy, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Proven Care Pharmacy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Houston, TX
• Providers in Houston, 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 Jan 20, 2022; 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.