State Pharmacy & Infusion Center, LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

STATE PHARMACY & INFUSION CENTER, LLC

Practice address

13111 Westheimer Rd
Suite #212
Houston, TX 77077-5546

Phone

(832) 230-3804

Fax

(832) 230-3839

NPI assigned

Sep 19, 2012

Organization subpart

No

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

Authorized official

Name

Robert W Boarer

Title

Member

Phone

(281) 509-2639

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1275884033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13111 WESTHEIMER RD",
            "address_2": "SUITE #212",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770775546",
            "telephone_number": "832-230-3804",
            "fax_number": "832-230-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13111 WESTHEIMER RD",
            "address_2": "SUITE #212",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770775546",
            "telephone_number": "832-230-3804",
            "fax_number": "832-230-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE PHARMACY & INFUSION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "BOARER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "281-509-2639"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Infusion Therapy Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Infusion Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.