Active NPI
Optimal Balance Pharmacy
- Compounding Pharmacy
- Houston, TX
National Provider Identifier
1306535307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounding Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Pharmacist
- Houston, TX
- NPI 1851781223
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.