Active NPI
Lisa Anne Homburg, RPH
- Pharmacist
- Houston, TX
National Provider Identifier
1316156631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 31822
- Practice address
- 13630 Beamer Rd Ste 104
Houston, TX 77089-6037 - Phone
- (281) 464-6300
- Fax
- (281) 464-6301
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 31822 | TX | Primary |
Addresses
Primary practice location
13630 Beamer Rd Ste 104
Houston, TX 77089-6037
Mailing address
2838 Creek Bend Dr
Friendswood, TX 77546-6038
Phone (281) 338-6905
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31822 | TX | MD | Public Health Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316156631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2838 CREEK BEND DR",
"city": "FRIENDSWOOD",
"state": "TX",
"postal_code": "775466038",
"telephone_number": "281-338-6905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13630 BEAMER RD STE 104",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770896037",
"telephone_number": "281-464-6300",
"fax_number": "281-464-6301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMBURG",
"first_name": "LISA",
"middle_name": "ANNE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "31822",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.