Houston St Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

25313 Issued in TX

Legal business name

HOUSTON ST PHARMACY

Practice address

210 W Houston St
Tyler, TX 75702-8136

Phone

(903) 526-8030

Fax

(903) 526-8031

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Lea Ann Barron, RN, MSN, FNP

Title

GM

Phone

(903) 526-8030

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• HOUSTON STREET PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239753600000",
    "number": "1295800878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W HOUSTON ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028136",
            "telephone_number": "903-526-8030",
            "fax_number": "903-526-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W HOUSTON ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028136",
            "telephone_number": "903-526-8030",
            "fax_number": "903-526-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON ST PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2009-04-15",
        "status": "A",
        "authorized_official_last_name": "BARRON",
        "authorized_official_first_name": "LEA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "GM",
        "authorized_official_telephone_number": "903-526-8030",
        "authorized_official_credential": "RN, MSN, FNP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "25313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145743",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4543268",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOUSTON STREET PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Hostas, OTR
• Wayne E Hostetler, MD
• Brittany R House
• Teresa Araya Houser, SLP
• Amy Housh
• Cheryl Lynn Houston, PA
• Glenda Houston
• Misty A Houston, FNP
• Robin Houston
• Daniel Howard, MD

• Community/Retail Pharmacy in Tyler, TX
• Providers in Tyler, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; 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.