Ibn Sina Community Clinic Pharmacy

Primary specialty

Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X

Legal business name

IBN SINA COMMUNITY CLINIC PHARMACY

Practice address

11226 S Wilcrest Dr
Houston, TX 77099

Phone

(281) 977-7462

Fax

(281) 977-7472

NPI assigned

Nov 13, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Badri Tavasolian, PHARMACIST

Title

Pharmacist

Phone

(281) 977-7462

Specialties & licenses 1

Addresses

Tax ID family

Ibn Sina Foundation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Ibn Sina Foundation

  • General Practice Dentistry
  • Houston, TX
  • NPI 1679773550
  NPD tax ID
• Ibn Sina Foundation

  • Community Health Clinic/Center
  • Houston, TX
  • NPI 1699973610
  NPD tax ID

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1225630296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11226 S WILCREST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77099",
            "telephone_number": "281-977-7462",
            "fax_number": "281-977-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11226 S WILCREST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77099",
            "telephone_number": "281-977-7462",
            "fax_number": "281-977-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBN SINA COMMUNITY CLINIC PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "TAVASOLIAN",
        "authorized_official_first_name": "BADRI",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "281-977-7462",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ibettercare Psychiatry PLLC
• Francisca Chinyere Ibezim
• Joseph Ibiok
• Ibis Healthcare, Inc.
• Walid Ibn Essayed, M.D.
• Ibn Sina Foundation
• Ibn Sina Foundation
• Nashaat Botrous Ibraheim, MD
• Ibrahim Garcia-Mowatt M.D., P.a.
• Ibrahim Sylla

• Adolescent Medicine (Family Medicine) Physician in Houston, TX
• Providers in Houston, TX by specialty
• Adolescent Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.