Active NPI
Genesis Apothecary Inc
- Community/Retail Pharmacy
- Sugar Land, TX
National Provider Identifier
1316481880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- GENESIS APOTHECARY INC
- Doing business as
- Rosh Pharmacy
- Practice address
- 101 Southwestern Blvd # 100
Sugar Land, TX 77478-3668 - Phone
- (281) 203-7829
- Fax
- (713) 583-1802
- NPI assigned
- Dec 18, 2016
- 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
- Sejal Shan
- Title
- President
- Phone
- (281) 203-7829
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
101 Southwestern Blvd # 100
Sugar Land, TX 77478-3668
Mailing address
101 Southwestern Blvd # 100
Sugar Land, TX 77478-3668
Phone (281) 203-7829
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2166848 | Other | PK |
Other names 1
- Rosh Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230303000401 | TX | DME Supplier - Pharmacy | 3678946167 | Practice locations: Sugar Land, TX |
National Provider Directory
National Provider Directory- Tax ID family
- Genesis Apothecary Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mail Order Pharmacy
- Sugar Land, TX
- NPI 1821612441
Locations
101 Southwestern Blvd
Ste 100
Sugar Land, TX 77478
Phone (281) 203-7829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590796800000",
"number": "1316481880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 SOUTHWESTERN BLVD # 100",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774783668",
"telephone_number": "281-203-7829",
"fax_number": "713-583-1802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SOUTHWESTERN BLVD # 100",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774783668",
"telephone_number": "281-203-7829",
"fax_number": "713-583-1802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS APOTHECARY INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-18",
"last_updated": "2020-05-30",
"certification_date": "2020-05-30",
"status": "A",
"authorized_official_last_name": "SHAN",
"authorized_official_first_name": "SEJAL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "281-203-7829"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2166848",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rosh Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.