Organization Active NPI

Premiumrx Solutions LLC

  • Community/Retail Pharmacy
  • Spring, TX
National Provider Identifier
1316638398
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PREMIUMRX SOLUTIONS LLC
Practice address
26830 Cypresswood Dr Ste 101
Spring, TX 77373-9002
Phone
(281) 651-2374
NPI assigned
May 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Authorized official

Name
Shiv A AgharaNPI 1780289983
Title
Pharmacist-in-Charge
Phone
(281) 651-2374

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

26830 Cypresswood Dr Ste 101
Spring, TX 77373-9002

Mailing address

26830 Cypresswood Dr Ste 101
Spring, TX 77373-9002
Phone (480) 882-8257

Other names 1

  • Cypresswood Pharmacy and Compounding Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20231021000254 TX Part B Supplier - Mass Immunization (Roster Biller Only) 7214383652 Practice locations: Spring, TX
O20231025003544 TX Part B Supplier - Pharmacy 7214383652 Practice locations: Spring, TX

National Provider Directory

National Provider Directory
Tax ID family
Cypresswood Pharmacy and Compounding2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

26830 Cypresswood Dr
Spring, TX 77373

26830 Cypresswood Dr
Ste 101
Spring, TX 77373
Phone (281) 651-2374

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1316638398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26830 CYPRESSWOOD DR STE 101",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773739002",
            "telephone_number": "480-882-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26830 CYPRESSWOOD DR STE 101",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773739002",
            "telephone_number": "281-651-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUMRX SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-10-04",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "AGHARA",
        "authorized_official_first_name": "SHIV",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "281-651-2374"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cypresswood Pharmacy and Compounding",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.

Verify at the official NPI Registry.