Tricare Pharmacy

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

19268 Issued in TX

Legal business name

TRICARE PHARMACY

Practice address

6121 Hillcroft St
Suite J
Houston, TX 77081-1002

Phone

(713) 995-5338

Fax

(713) 995-5338

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Sabri Wilson Shatby, B.PHARM

Title

Owner, Pic

Phone

(713) 995-5338

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184763740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121HILLCROFT",
            "address_2": "SUITE J",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770811002",
            "telephone_number": "713-995-5338",
            "fax_number": "713-995-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 HILLCROFT ST",
            "address_2": "SUITE J",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770811002",
            "telephone_number": "713-995-5338",
            "fax_number": "713-995-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHATBY",
        "authorized_official_first_name": "SABRI",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "OWNER, PIC",
        "authorized_official_telephone_number": "713-995-5338",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.PHARM"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "19268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250458",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Michael Edward Trice, MD
• Rachel Trice, LMSW

• Preferred Provider Organization in Houston, TX
• Providers in Houston, TX by specialty
• Preferred Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.