Individual provider Active NPI

Patrice Wendy Clifford, PHARM.D.

  • Pharmacist
  • Houston, TX
National Provider Identifier
1245568377
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
46020 Issued in TX
Practice address
17320 Red Oak Dr # 106
Houston, TX 77090-2633
Phone
(832) 446-6014
Fax
(832) 446-6018
NPI assigned
Dec 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 46020 TX Primary

Addresses

Primary practice location

17320 Red Oak Dr # 106
Houston, TX 77090-2633

Mailing address

17320 Red Oak Dr # 106
Houston, TX 77090-2633
Phone (832) 446-6014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
46020TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Drugstore & Medical Supplies CurrentSince Dec 22, 2020 Accepting new patients
Walgreen Co Past Accepting new patients
Walgreen Co Past Accepting new patients

Locations

17320 Red Oak Dr
Ste 106
Houston, TX 77090
Phone (832) 446-6014

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1245568377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17320 RED OAK DR # 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902633",
            "telephone_number": "832-446-6014",
            "fax_number": "832-446-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17320 RED OAK DR # 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902633",
            "telephone_number": "832-446-6014",
            "fax_number": "832-446-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIFFORD",
        "first_name": "PATRICE",
        "middle_name": "WENDY",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-01",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "46020",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 16, 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.