Organization Active NPI

Ngolam Pharmacy, Inc.

Doing business as Southwest Pharmacy

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1316159320
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
15689 Issued in TX
Legal business name
NGOLAM PHARMACY, INC.
Doing business as
Southwest Pharmacy
Practice address
8282 Bellaire Blvd
Suite #154a
Houston, TX 77036-4050
Phone
(713) 270-7366
Fax
(713) 270-7368
NPI assigned
May 3, 2007
Last updated
Jan 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Thu Minh Nguyen
Title
Vice-President
Phone
(713) 270-7366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 15689 TX Primary

Addresses

Primary practice location

8282 Bellaire Blvd
Suite #154a
Houston, TX 77036-4050

Mailing address

8282 Bellaire Blvd
Suite #154a
Houston, TX 77036-4050
Phone (713) 270-7366

Other identifiers 1

IdentifierTypeStateIssuer
144204MedicaidTX

Other names 1

  • Southwest Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

8282 Bellaire Blvd
Ste 154A
Houston, TX 77036
Phone (713) 270-7366

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1316159320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8282 BELLAIRE BLVD",
            "address_2": "SUITE #154A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364050",
            "telephone_number": "713-270-7366",
            "fax_number": "713-270-7368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8282 BELLAIRE BLVD",
            "address_2": "SUITE #154A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364050",
            "telephone_number": "713-270-7366",
            "fax_number": "713-270-7368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGOLAM PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THU",
        "authorized_official_middle_name": "MINH",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "713-270-7366"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "15689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144204",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 11, 2008; 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.