Active NPI
Simon V Pedroza
- Pharmacist
- Houston, TX
National Provider Identifier
1295881142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18422
- Practice address
- 3303 N Main St
Houston, TX 77009-5637 - Phone
- (713) 222-6650
- Fax
- (713) 225-6026
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 40616 | TX | |
| Pharmacist | 183500000X | 18422 | TX | Primary |
| Pharmacy Technician | 183700000X | 207802 | TX | |
| Pharmacy Technician | 183700000X | 258086 | TX | |
| Pharmacy Technician | 183700000X | 231700 | TX |
Addresses
Primary practice location
3303 N Main St
Houston, TX 77009-5637
Mailing address
6214 Frisco St.
Houston, TX 77022
Phone (713) 222-6650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 143700 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19069 | TX | MD | Professional Counselor |
| 24063 | TX | MD | General Practice Dentistry |
| 18422 | TX | MD | Pharmacist |
| 118700 | TX | MD | Pharmacy Technician |
| 118736 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SPF Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Houston, TX
- NPI 1811091887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1295881142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6214 FRISCO ST.",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77022",
"telephone_number": "713-222-6650",
"fax_number": "713-225-6026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3303 N MAIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770095637",
"telephone_number": "713-222-6650",
"fax_number": "713-225-6026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDROZA",
"first_name": "SIMON",
"middle_name": "V",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "40616",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "18422",
"primary": true
},
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TX",
"license": "207802",
"primary": false
},
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TX",
"license": "258086",
"primary": false
},
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TX",
"license": "231700",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "143700",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.