Mantra Investments Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28578 Issued in TX

Legal business name

MANTRA INVESTMENTS INC

Doing business as

Pecan Park Pharmacy

Practice address

906 Wayside Dr
Houston, TX 77011-2518

Phone

(713) 861-4300

Fax

(713) 861-4302

NPI assigned

Aug 5, 2013

Organization subpart

No

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

Authorized official

Name

Kurian and Lizy Bose

Title

President/Manager

Phone

(713) 861-4300

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Pecan Park Pharmacy Doing business as

Tax ID family

Dba Pecan Park Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mantra Investments Inc.

  dba D/B/A Pecan Park Pharmacy

  • Pharmacy
  • Houston, TX
  • NPI 1144669094
  NPD tax ID

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1205268943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6315 COOL WATER DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795530",
            "telephone_number": "281-565-5921",
            "fax_number": "713-861-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 WAYSIDE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770112518",
            "telephone_number": "713-861-4300",
            "fax_number": "713-861-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANTRA INVESTMENTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-05",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "BOSE",
        "authorized_official_first_name": "KURIAN AND LIZY",
        "authorized_official_title_or_position": "PRESIDENT/MANAGER",
        "authorized_official_telephone_number": "713-861-4300"
    },
    "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": "28578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146872",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141437",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pecan Park Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raju Mantena, D.O
• Yogita Mantena, DO
• Smitha Mantha, DPM
• Nathaniel Manthey, RN
• Robin King Mantilla, SLP
• Mantra Investments Inc. (D/B/A Pecan Park Pharmacy)
• Joan Osei Manu, A-GNP-C
• Manuel Thomas Trigo (Blue Cross EMS)
• Aaliyah S. Manuel
• Brittney Manuel

• 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 13, 2017; 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.