Organization Active NPI

Jordan J Maswoswe

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1235501560
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
22491 Issued in TX
Legal business name
JORDAN J MASWOSWE
Practice address
10411 Veterans Memorial Dr
Suite B
Houston, TX 77038-1501
Phone
(832) 761-7817
Fax
(832) 761-7821
NPI assigned
Oct 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Authorized official

Name
Jordan Maswoswe, PHRMD
Title
Owner
Phone
(713) 446-6826

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 22491 TX Primary

Addresses

Primary practice location

10411 Veterans Memorial Dr
Suite B
Houston, TX 77038-1501

Mailing address

10411 Veterans Memorial Dr
Suite B
Houston, TX 77038-1501
Phone (832) 761-7817

Other identifiers 2

IdentifierTypeStateIssuer
147144MedicaidTX
2095969OtherPK

Other names 1

  • Maswoswe's Alternative Pharmacy Services - MAPS Rx Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jordan J Maswoswe2 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.

Locations

10411 Veterans Memorial Dr
Ste B
Houston, TX 77038
Phone (832) 761-7817

NPI Registry JSON

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1235501560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10411 VETERANS MEMORIAL DR",
            "address_2": "SUITE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770381501",
            "telephone_number": "832-761-7817",
            "fax_number": "832-761-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10411 VETERANS MEMORIAL DR",
            "address_2": "SUITE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770381501",
            "telephone_number": "832-761-7817",
            "fax_number": "832-761-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN J MASWOSWE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "MASWOSWE",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-446-6826",
        "authorized_official_credential": "PHRMD"
    },
    "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": "22491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147144",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2095969",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maswoswe's Alternative Pharmacy Services - MAPS Rx",
            "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 Aug 18, 2016; 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.