Good Samaritan Ventures LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GOOD SAMARITAN VENTURES LLC

Doing business as

Main Street Pharmacy & Medical Supply

Practice address

3607 S Main St Ste 104
Stafford, TX 77477-5406

Phone

(713) 866-4021

Fax

(713) 866-6560

NPI assigned

Dec 19, 2022

Last updated

Dec 19, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

GOOD SAMARITAN VENTURES, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Abiel Haileab Tsegai, PHARMACISTNPI 1295337194

Title

Ceo/Pharmacist in Charge

Phone

(713) 866-4021

Specialties & licenses 1

Addresses

Other names 1

• Main Street Pharmacy & Medical Supply Doing business as

Part of

Good Samaritan Ventures LLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abiel Haileab Tsegai

  • Pharmacist
  • Humble, TX
  • NPI 1295337194
  NPD Authorized official

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1235841545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 S MAIN ST STE 104",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775406",
            "telephone_number": "713-866-4021",
            "fax_number": "713-866-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3607 S MAIN ST STE 104",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775406",
            "telephone_number": "713-866-4021",
            "fax_number": "713-866-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN VENTURES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOOD SAMARITAN VENTURES, LLC",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "TSEGAI",
        "authorized_official_first_name": "ABIEL",
        "authorized_official_middle_name": "HAILEAB",
        "authorized_official_title_or_position": "CEO/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "713-866-4021",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Street Pharmacy & Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sabrina Gonzales-Smith
• Leticia G. Gonzalez-Castro, LMSW
• Angela R Gonzalez, OTA
• Sergio Gonzalez
• Good Samaritan Device Corp.
• Good Shepherd Care Center Inc
• Good Shepherd Care Center, Inc
• Lien Goralski
• Babak Goravanchi, DDS
• Lula Mae Gordon, PTA

• Durable Medical Equipment & Medical Supplies in Stafford, TX
• Providers in Stafford, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.