NPIMap

Organization Active NPI

Memorial Hermann Pharmacy Services, LLC

Doing business as Memorial Hermann Home Health Pharmacy

  • Home Infusion Therapy Pharmacy
  • Katy, TX
National Provider Identifier
1245739408
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
31860 Issued in TX
Legal business name
MEMORIAL HERMANN PHARMACY SERVICES, LLC
Doing business as
Memorial Hermann Home Health Pharmacy
Practice address
21501 Park Row Dr Ste 210
Katy, TX 77449
Phone
(281) 698-6175
Fax
(281) 698-6147
NPI assigned
Feb 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Authorized official

Name
Charmaine A Ferguson
Title
VP - Risk MGMT. & Litigation
Phone
(713) 242-4456

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Pharmacy 333600000X
Compounding Pharmacy 3336C0004X
Home Infusion Therapy Pharmacy 3336H0001X 31860 TX Primary

Addresses

Primary practice location

21501 Park Row Dr Ste 210
Katy, TX 77449

Mailing address

21501 Park Row Dr Ste 210
Katy, TX 77449-2425
Phone (281) 698-6175

Other identifiers 1

IdentifierTypeStateIssuer
2176353OtherPK

Other names 1

  • Memorial Hermann Home Health Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180627003800 TX DME Supplier - Pharmacy 6507127925 Practice locations: Katy, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Memorial Hermann Pharmacy Services LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

21501 Park Row Dr
Ste 210
Katy, TX 77449
Phone (281) 698-6104

21501 Park Row Dr
Ste 200
Park Row, TX 77449
Phone (281) 698-6100

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1245739408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21501 PARK ROW DR STE 210",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492425",
            "telephone_number": "281-698-6175",
            "fax_number": "281-698-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21501 PARK ROW DR STE 210",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77449",
            "telephone_number": "281-698-6175",
            "fax_number": "281-698-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HERMANN PHARMACY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-02",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "CHARMAINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP - RISK MGMT. & LITIGATION",
        "authorized_official_telephone_number": "713-242-4456"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "TX",
            "license": "31860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176353",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Hermann Home Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Memorial Hermann Home Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.