Houston Midtown Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

26529 Issued in TX

Legal business name

HOUSTON MIDTOWN PHARMACY LLC

Doing business as

Houston Midtown Pharmacy LLC

Practice address

6609 W Sam Houston Pkwy S
Ste 98
Houston, TX 77072-1640

Phone

(832) 831-0346

Fax

(832) 831-0390

NPI assigned

Apr 29, 2009

Last updated

Mar 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Moore

Title

Ao

Phone

(832) 265-4614

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Houston Midtown Pharmacy LLC Doing business as

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1265676613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6609 W SAM HOUSTON PKWY S",
            "address_2": "STE 98",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770721640",
            "telephone_number": "832-831-0346",
            "fax_number": "832-831-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 W SAM HOUSTON PKWY S",
            "address_2": "STE 98",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770721640",
            "telephone_number": "832-831-0346",
            "fax_number": "832-831-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON MIDTOWN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "832-265-4614"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2119922",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Houston Midtown Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.