Organization Active NPI

Pioneer Pharmaceuticals LLC

  • Community/Retail Pharmacy
  • Rosenberg, TX
National Provider Identifier
1285024992
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
29739 Issued in TX
Legal business name
PIONEER PHARMACEUTICALS LLC
Practice address
5101 Avenue H Ste 18
Rosenberg, TX 77471-2024
Phone
(832) 759-5114
Fax
(832) 779-8434
NPI assigned
Feb 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Authorized official

Name
David Soblick
Title
President
Phone
(832) 759-5114

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 29739 TX Primary

Addresses

Primary practice location

5101 Avenue H Ste 18
Rosenberg, TX 77471-2024

Mailing address

5101 Avenue H Ste 18
Rosenberg, TX 77471-2024
Phone (832) 759-5114

Other identifiers 2

IdentifierTypeStateIssuer
149149MedicaidTX
2155829OtherPK

Other names 1

  • Pioneer Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

5101 Avenue H
Ste 18
Rosenberg, TX 77471
Phone (281) 762-2928

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": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1285024992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 AVENUE H STE 18",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774712024",
            "telephone_number": "832-759-5114",
            "fax_number": "832-779-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 AVENUE H STE 18",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774712024",
            "telephone_number": "832-759-5114",
            "fax_number": "832-779-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER PHARMACEUTICALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "SOBLICK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-759-5114"
    },
    "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": "29739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149149",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155829",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rosenberg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.