Active NPI
Blue City LLC
- Long Term Care Pharmacy
- Houston, TX
National Provider Identifier
1245857960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- BLUE CITY LLC
- Practice address
- 2646 S Loop W Ste 180a
Houston, TX 77054-5616 - Phone
- (832) 582-5290
- NPI assigned
- Jun 29, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachael Alles
- Title
- Owner
- Phone
- (682) 262-1120
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
2646 S Loop W Ste 180a
Houston, TX 77054-5616
Mailing address
2646 S Loop W Ste 180a
Houston, TX 77054-5616
Phone (832) 582-5290
Other names 1
- EZ Pack Pharmacy
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | adam@ezpackpharmacy.com |
National Provider Directory
National Provider Directory- Tax ID family
- Blue City LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Weatherford, TX
- NPI 1245857051
Locations
2646 S Loop W
Ste 180A
Houston, TX 77054
Phone (832) 582-5290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693958400000",
"number": "1245857960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2646 S LOOP W STE 180A",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770545616",
"telephone_number": "832-582-5290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2646 S LOOP W STE 180A",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770545616",
"telephone_number": "832-582-5290"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE CITY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-29",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A",
"authorized_official_last_name": "ALLES",
"authorized_official_first_name": "RACHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "682-262-1120"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "adam@ezpackpharmacy.com",
"affiliation": "N",
"address_1": "2646 S Loop W Ste 180A",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770545616",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "EZ Pack Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "EZ Pack Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}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 Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.