Organization Active NPI

Vinatown Pharmacy

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1245217157
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
11073 Issued in TX
Legal business name
VINATOWN PHARMACY
Practice address
2117 Chenevert St Ste C
Ste C
Houston, TX 77003-5845
Phone
(713) 651-1430
Fax
(713) 651-3947
NPI assigned
Dec 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Phuong Ding, RPH
Title
Owner
Phone
(713) 651-1430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 11073 TX Primary

Addresses

Primary practice location

2117 Chenevert St Ste C
Ste C
Houston, TX 77003-5845

Mailing address

2117 Chenevert St Ste C
Ste C
Houston, TX 77003-5845

Other identifiers 2

IdentifierTypeStateIssuer
4569464OtherOTHER ID NUMBER-COMMERCIAL NUMBER
142790MedicaidTX

National Provider Directory

National Provider Directory

Locations

2117 Chenevert St
Ste C
Houston, TX 77003
Phone (713) 651-1430

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245217157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 CHENEVERT ST STE C",
            "address_2": "STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770035845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 CHENEVERT ST STE C",
            "address_2": "STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770035845",
            "telephone_number": "713-651-1430",
            "fax_number": "713-651-3947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINATOWN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DING",
        "authorized_official_first_name": "PHUONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-651-1430",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "11073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4569464",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142790",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 22, 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.