Active NPI
Custom Care RX LLC
- Community/Retail Pharmacy
- Houston, TX
National Provider Identifier
1215636485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- CUSTOM CARE RX LLC
- Practice address
- 7900 Fannin St Ste 1480
Houston, TX 77054-2946 - Phone
- (714) 717-7247
- NPI assigned
- Feb 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Dzioba
- Title
- Owner
- Phone
- (714) 717-7247
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
7900 Fannin St Ste 1480
Houston, TX 77054-2946
Mailing address
412 Olive Ave # 535
Huntington Beach, CA 92648-5142
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677456000000",
"number": "1215636485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 OLIVE AVE # 535",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926485142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 FANNIN ST STE 1480",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770542946",
"telephone_number": "714-717-7247"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUSTOM CARE RX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-27",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A",
"authorized_official_last_name": "DZIOBA",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-717-7247"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.