Organization Active NPI

VVMM Pharmacy LLC

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1225465321
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28770 Issued in TX
Legal business name
VVMM PHARMACY LLC
Practice address
6435 San Felipe St
Houston, TX 77057-2705
Phone
(713) 783-5704
Fax
(713) 783-5482
NPI assigned
Oct 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Sally M Salib, PHARMACISTNPI 1407131683
Title
Owner
Phone
(713) 783-5704

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28770 TX Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

6435 San Felipe St
Houston, TX 77057-2705

Mailing address

6435 San Felipe St
Houston, TX 77057-2705
Phone (713) 783-5704

Other identifiers 1

IdentifierTypeStateIssuer
148730MedicaidTX

Other names 1

  • Briargrove Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20131127001563 TX Part B Supplier - Mass Immunization (Roster Biller Only) 1355577164 Practice locations: Houston, TX
O20140114000441 TX DME Supplier - Pharmacy 1355577164 Practice locations: Houston, TX

National Provider Directory

National Provider Directory
Tax ID family
VVMM Pharmacy LLC2 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.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

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": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1225465321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6435 SAN FELIPE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770572705",
            "telephone_number": "713-783-5704",
            "fax_number": "713-783-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6435 SAN FELIPE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770572705",
            "telephone_number": "713-783-5704",
            "fax_number": "713-783-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VVMM PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2023-03-07",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "SALIB",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-783-5704",
        "authorized_official_credential": "PHARMACIST"
    },
    "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": "28770",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148730",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Briargrove 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 7, 2023; 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.