Allstar Pharmacy LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

27115 Issued in TX

Legal business name

ALLSTAR PHARMACY LLC

Doing business as

Allstar Compounding Pharmacy

Practice address

11410 E. I-10 Freeway Suite 164
Houston, TX 77029

Phone

(713) 590-0448

Fax

(713) 590-0447

NPI assigned

Jul 15, 2010

Last updated

Dec 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robin Vinson

Title

Owner

Phone

(713) 590-0448

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Allstar Compounding Pharmacy Doing business as

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1184937427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11410 E. I-10 FREEWAY SUITE 164",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77029",
            "telephone_number": "713-590-0448",
            "fax_number": "713-590-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11410 E. I-10 FREEWAY SUITE 164",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77029",
            "telephone_number": "713-590-0448",
            "fax_number": "713-590-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLSTAR PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "VINSON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-590-0448"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "TX",
            "license": "27115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5902033",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allstar Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Compounding Pharmacy in Houston, TX
• Providers in Houston, TX by specialty
• Compounding Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.