Southbelt Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

11860 Issued in TX

Legal business name

SOUTHBELT PHARMACY

Practice address

11914 Astoria Blvd
Suite 190
Houston, TX 77089-6064

Phone

(713) 610-9145

Fax

(713) 610-9140

NPI assigned

Sep 7, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Raymond M Medrano, RPH

Title

President

Phone

(713) 610-9145

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225022197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11914 ASTORIA BLVD",
            "address_2": "SUITE 190",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896064",
            "telephone_number": "713-610-9145",
            "fax_number": "713-610-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11914 ASTORIA BLVD",
            "address_2": "SUITE 190",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896064",
            "telephone_number": "713-610-9145",
            "fax_number": "713-610-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHBELT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEDRANO",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-610-9145",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "11860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0913808",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Laraine South, NP
• Madison Southall
• Southampton Clinic PLLC
• Southampton Medical Imaging LLC
• Robert Ellis Southard, MD
• Southbelt Wellness & Injury Center Inc.
• Southeast
• Southeast Arkansas Five Medical Group, PLLC
• Southeast Care and Health Center
• Southeast Clinical Research Associates, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.