Organization Active NPI

Optimal Balance Pharmacy

  • Compounding Pharmacy
  • Houston, TX
National Provider Identifier
1306535307
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
OPTIMAL BALANCE PHARMACY
Practice address
2204 Cypress Creek Pkwy Ste F&G
Houston, TX 77090-3113
Phone
(281) 919-2964
NPI assigned
May 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Authorized official

Name
Mr. Christopher Quintana
Title
Owner
Phone
(936) 444-5027

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X Primary

Addresses

Primary practice location

2204 Cypress Creek Pkwy Ste F&G
Houston, TX 77090-3113

Mailing address

15726 Jersey Dr
Jersey Village, TX 77040-2146
Phone (210) 748-3260

National Provider Directory

National Provider Directory

Locations

2204 Cypress Creek Pkwy
Ste Fg
Houston, TX 77090
Phone (281) 919-2964

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": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1306535307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15726 JERSEY DR",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770402146",
            "telephone_number": "210-748-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 CYPRESS CREEK PKWY STE F&G",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903113",
            "telephone_number": "281-919-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL BALANCE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "QUINTANA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-444-5027",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 4, 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.