Organization Active NPI

Brightmed Corporation

Doing business as Brightmed Pharmacy

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1255377065
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
24370 Issued in TX
Legal business name
BRIGHTMED CORPORATION
Doing business as
Brightmed Pharmacy
Practice address
9630 Clarewood Dr Ste A3
Houston, TX 77036-3535
Phone
(713) 772-7700
Fax
(713) 772-7706
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Authorized official

Name
Christi Zhao, MASTER
Title
Vice President
Phone
(713) 772-7700

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 24370 TX Primary

Addresses

Primary practice location

9630 Clarewood Dr Ste A3
Houston, TX 77036-3535

Mailing address

9630 Clarewood Dr Ste A3
Houston, TX 77036-3535
Phone (713) 772-7700

Other identifiers 4

IdentifierTypeStateIssuer
1643076MedicaidLA
2098828OtherPK
163368701MedicaidTX
163368702MedicaidTX

Other names 1

  • BRIGHTMED PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930057837 TX DME Supplier - PharmacyDME Supplier - Medical Supply Company 2567678659 Practice locations: Houston, TX
O20201228000444 TX Part B Supplier - Mass Immunization (Roster Biller Only) 2567678659 Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2292385Brightmed Pharmacy9630 Clarewood Dr Ste A3, Houston, TX 77036Certificate of waiverOct 24, 2027

National Provider Directory

National Provider Directory
Tax ID family
Bright Medical Supply Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

6229 Corporate Dr
Houston, TX 77036
Phone (713) 772-7700

9630 Clarewood Dr
Ste A14
Houston, TX 77036
Phone (713) 772-7700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1255377065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9630 CLAREWOOD DR STE A3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363535",
            "telephone_number": "713-772-7700",
            "fax_number": "713-772-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9630 CLAREWOOD DR STE A3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363535",
            "telephone_number": "713-772-7700",
            "fax_number": "713-772-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTMED CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "ZHAO",
        "authorized_official_first_name": "CHRISTI",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "713-772-7700",
        "authorized_official_credential": "MASTER"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "24370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1643076",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2098828",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163368701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163368702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIGHTMED 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 May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.