Organization Active NPI

J & S Prosperity, LLC

  • Community/Retail Pharmacy
  • Missouri City, TX
National Provider Identifier
1255977476
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
J & S PROSPERITY, LLC
Practice address
1544 Kenforest Dr
Missouri City, TX 77489-2165
Phone
(346) 570-2663
NPI assigned
Nov 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Authorized official

Name
Mr. Jermain Wiggins
Title
Manager
Phone
(346) 570-2663

Specialties & licenses 1

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

Addresses

Primary practice location

1544 Kenforest Dr
Missouri City, TX 77489-2165

Mailing address

3811 Edgewood Hill CT
Fresno, TX 77545-8759
Phone (832) 264-3296

Other names 1

  • IBO Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1544 Kenforest Dr
Missouri City, TX 77489
Phone (346) 570-2663

NPI Registry JSON

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574380800000",
    "number": "1255977476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 EDGEWOOD HILL CT",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775458759",
            "telephone_number": "832-264-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 KENFOREST DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774892165",
            "telephone_number": "346-570-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & S PROSPERITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-22",
        "last_updated": "2019-11-22",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "JERMAIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "346-570-2663",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IBO Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.