Organization Active NPI

C - Med Pharmacy and Health Care Services

  • Community/Retail Pharmacy
  • Rosenberg, TX
National Provider Identifier
1306137997
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
27463 Issued in TX
Legal business name
C - MED PHARMACY AND HEALTH CARE SERVICES
Practice address
5633 Avenue I Ste C
Rosenberg, TX 77471-6192
Phone
(832) 363-3787
Fax
(832) 363-3790
NPI assigned
Apr 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Ashleigh Buckley
Title
Owner
Phone
(832) 363-3787

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 27463 TX Primary

Addresses

Primary practice location

5633 Avenue I Ste C
Rosenberg, TX 77471-6192

Mailing address

5633 Avenue I Ste C
Rosenberg, TX 77471-6192
Phone (832) 363-3787

Other identifiers 2

IdentifierTypeStateIssuer
146400MedicaidTX
2130180OtherPK

Other names 1

  • C - MED PHARMACY AND HEALTH CARE SERVICES LLC Doing business as

National Provider Directory

National Provider Directory

Locations

5633 Avenue I
Ste C
Rosenberg, TX 77471
Phone (713) 449-3122

NPI Registry JSON

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1306137997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5633 AVENUE I STE C",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774716192",
            "telephone_number": "832-363-3787",
            "fax_number": "832-363-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5633 AVENUE I STE C",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774716192",
            "telephone_number": "832-363-3787",
            "fax_number": "832-363-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C - MED PHARMACY AND HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-29",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "ASHLEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-363-3787"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146400",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130180",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C - MED PHARMACY AND HEALTH CARE SERVICES LLC",
            "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 Nov 4, 2024; 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.