Organization Active NPI

Bayshore Health Mart, Inc.

  • Community/Retail Pharmacy
  • Pasadena, TX
National Provider Identifier
1295145605
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
29025 Issued in TX
Legal business name
BAYSHORE HEALTH MART, INC.
Practice address
3315 Burke Rd Ste 100
Pasadena, TX 77504-1873
Phone
(833) 322-9746
Fax
(833) 322-9746
NPI assigned
May 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Authorized official

Name
Mr. Piyush Mesuria
Title
Officer
Phone
(833) 322-9746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 29025 TX Primary

Addresses

Primary practice location

3315 Burke Rd Ste 100
Pasadena, TX 77504-1873

Mailing address

3315 Burke Rd Ste 100
Pasadena, TX 77504-1873
Phone (281) 984-5000

Other identifiers 2

IdentifierTypeStateIssuer
2145543OtherPK
148355MedicaidTX

Other names 1

  • Bayshore Health Mart Doing business as

National Provider Directory

National Provider Directory

Locations

3315 Burke Rd
Ste 100
Pasadena, TX 77504
Phone (281) 984-5000

NPI Registry JSON

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1295145605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 BURKE RD STE 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041873",
            "telephone_number": "281-984-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 BURKE RD STE 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041873",
            "telephone_number": "833-322-9746",
            "fax_number": "833-322-9746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSHORE HEALTH MART, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-07",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "MESURIA",
        "authorized_official_first_name": "PIYUSH",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "833-322-9746",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145543",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148355",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayshore Health Mart",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bayshore Health Mart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.