Organization Active NPI

Tie Pharmacy LLC

  • Pharmacy
  • Rosenberg, TX
National Provider Identifier
1245087725
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
TIE PHARMACY LLC
Doing business as
TIE PHARMACY
Practice address
5101 Avenue H Ste 18
Rosenberg, TX 77471-2024
Phone
(281) 762-2928
NPI assigned
May 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Authorized official

Name
Gristal Guadalupe Ruiz
Title
Owner
Phone
(281) 762-2928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

5101 Avenue H Ste 18
Rosenberg, TX 77471-2024

Mailing address

5101 Avenue H Ste 18
Rosenberg, TX 77471-2024
Phone (281) 762-2928

Other names 1

  • TIE PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1245087725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 AVENUE H STE 18",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774712024",
            "telephone_number": "281-762-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 AVENUE H STE 18",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774712024",
            "telephone_number": "281-762-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "GRISTAL",
        "authorized_official_middle_name": "GUADALUPE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-762-2928"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TIE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TIE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rosenberg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.