Primesource RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PRIMESOURCE RX LLC

Practice address

2656 S Loop W Ste 574
Houston, TX 77054-2664

Phone

(832) 464-7616

NPI assigned

Jan 5, 2016

Organization subpart

No

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

Authorized official

Name

John Truong

Title

Senior Vice President

Phone

(832) 464-7616

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1215393376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2656 S LOOP W STE 574",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542664",
            "telephone_number": "832-464-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2656 S LOOP W STE 574",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542664",
            "telephone_number": "832-464-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMESOURCE RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "832-464-7616"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primer Family Clinic
• Primerose Home Health Services Inc
• Primescope Diagnostics, LLC
• Primeserve Medimove
• Primesource Infusion Management, LLC
• Primetime Healthcare, Inc
• Primetime Home Health Services, Inc
• Primetime Medical Transportation LLC
• Primevital Equip LLC
• Primeway Healthcare Services, Inc.

• 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 Oct 7, 2019; 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.