Active NPI
Jerry Fu, PHARMD
- Pharmacist
- Houston, TX
National Provider Identifier
1306568670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 49339
- Practice address
- 415 Westheimer Rd Ste 103
Houston, TX 77006-3058 - Phone
- (281) 498-1450
- NPI assigned
- Sep 14, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 49339 | TX | Primary |
Addresses
Primary practice location
415 Westheimer Rd Ste 103
Houston, TX 77006-3058
Mailing address
415 Westheimer Rd Ste 103
Houston, TX 77006-3058
Phone (281) 498-1450
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | operations@southendpharmacystore.com | Direct |
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49339 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ap Max Incorporated | Pharmacist | Current | Accepting new patients |
Locations
415 Westheimer Rd
Ste 103
Houston, TX 77006
Phone (281) 498-1450
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1306568670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 WESTHEIMER RD STE 103",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770063058",
"telephone_number": "281-498-1450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 WESTHEIMER RD STE 103",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770063058",
"telephone_number": "281-498-1450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FU",
"first_name": "JERRY",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-14",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "49339",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "operations@southendpharmacystore.com",
"affiliation": "N",
"endpointDescription": "email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "415 Westheimer Rd Ste 103",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770063058",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.