NPIMap

Organization Active NPI

Pro Med Pharmacy

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1316377443
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
27241 Issued in TX
Legal business name
PRO MED PHARMACY
Practice address
6300 Westpark Dr Ste 210
Houston, TX 77057-7207
Phone
(713) 592-6188
Fax
(713) 592-6211
NPI assigned
Nov 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Authorized official

Name
Shajuiet Weaver
Title
Owner
Phone
(713) 592-6288

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 27241 TX Primary
Long Term Care Pharmacy 3336L0003X
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

6300 Westpark Dr Ste 210
Houston, TX 77057-7207

Mailing address

6300 Westpark Dr Ste 210
Houston, TX 77057-7207
Phone (713) 592-6188

Other identifiers 1

IdentifierTypeStateIssuer
2143046OtherPK

Other names 1

  • Pro Med Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pro Med Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1316377443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 WESTPARK DR STE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577207",
            "telephone_number": "713-592-6188",
            "fax_number": "713-592-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 WESTPARK DR STE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577207",
            "telephone_number": "713-592-6188",
            "fax_number": "713-592-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO MED PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "SHAJUIET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-592-6288"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27241",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143046",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pro Med 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 Nov 27, 2013; 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.