Organization Active NPI

Medical Center East Pharmacy

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1184774424
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MEDICAL CENTER EAST PHARMACY
Practice address
7112 Lyons Ave
Houston, TX 77020-5361
Phone
(713) 675-2625
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Eva Au, RPH
Title
Pic and Owner
Phone
(713) 675-2625

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 13506 TX
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

7112 Lyons Ave
Houston, TX 77020-5361

Mailing address

7112 Lyons Ave
Houston, TX 77020-5361
Phone (713) 675-2625

Other identifiers 2

IdentifierTypeStateIssuer
4586193OtherOTHER ID NUMBER-COMMERCIAL NUMBER
143578MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1184774424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7112 LYONS AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770205361",
            "telephone_number": "713-675-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7112 LYONS AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770205361",
            "telephone_number": "713-675-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER EAST PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "AU",
        "authorized_official_first_name": "EVA",
        "authorized_official_title_or_position": "PIC AND OWNER",
        "authorized_official_telephone_number": "713-675-2625",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "13506",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4586193",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143578",
            "state": "TX"
        }
    ],
    "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 Jun 17, 2008; 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.