Organization Active NPI

Precision Drugs, LLC

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1194726919
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
26366 Issued in TX
Legal business name
PRECISION DRUGS, LLC
Practice address
9180 Bellaire Blvd
Suite a
Houston, TX 77036-4697
Phone
(713) 541-1234
Fax
(713) 541-1101
NPI assigned
Aug 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Authorized official

Name
Dr. Crystal Yuwen Wang, PHARMD.NPI 1790387652
Title
Manager
Phone
(713) 541-1234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 6487710001 TX
Community/Retail Pharmacy 3336C0003X 26366 TX Primary

Addresses

Primary practice location

9180 Bellaire Blvd
Suite a
Houston, TX 77036-4697

Mailing address

9180 Bellaire Blvd
Suite a
Houston, TX 77036-4697
Phone (713) 541-1234

Other identifiers 1

IdentifierTypeStateIssuer
146000MedicaidTX

Other names 1

  • Evergreen Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20110308000251 TX DME Supplier - Pharmacy 2163604430 Practice locations: Houston, TX
O20190515001749 TX Part B Supplier - Pharmacy 2163604430 Practice locations: Houston, TX
O20210929001216 TX Part B Supplier - Independent Clinical Laboratory 2163604430 Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

9180 Bellaire Blvd
Ste A
Houston, TX 77036
Phone (713) 541-1234

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1194726919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9180 BELLAIRE BLVD",
            "address_2": "SUITE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364697",
            "telephone_number": "713-541-1234",
            "fax_number": "713-541-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9180 BELLAIRE BLVD",
            "address_2": "SUITE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364697",
            "telephone_number": "713-541-1234",
            "fax_number": "713-541-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION DRUGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "YUWEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-541-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "6487710001",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146000",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Evergreen Pharmacy",
            "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 Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.