Active NPI
Shree Siddhivinayak Enterprise Inc
- Community/Retail Pharmacy
- Houston, TX
National Provider Identifier
1326278656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 26554
- Legal business name
- SHREE SIDDHIVINAYAK ENTERPRISE INC
- Practice address
- 6301 Richmond Ave Ste 103
Houston, TX 77057-5905 - Phone
- (346) 357-3482
- Fax
- (832) 201-6727
- NPI assigned
- Jul 21, 2009
- 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
- Mr. Issam S Kheirbeck
- Title
- Authorized Official
- Phone
- (817) 304-2673
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 26554 | TX | Primary |
Addresses
Primary practice location
6301 Richmond Ave Ste 103
Houston, TX 77057-5905
Mailing address
6301 Richmond Ave Ste 103
Houston, TX 77057-5905
Phone (346) 357-3482
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146040 | Medicaid | TX | |
| 2121145 | Other | PK |
Other names 1
- HULEN PHARMACY
National Provider Directory
National Provider DirectoryLocations
6249 Granbury Rd
Fort Worth, TX 76133
Phone (817) 887-9990
12303 Westheimer Rd
Ste D
Houston, TX 77077
Phone (281) 496-6600
6301 Richmond Ave
Ste 103
Houston, TX 77057
Phone (346) 357-3482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654819200000",
"number": "1326278656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6301 RICHMOND AVE STE 103",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770575905",
"telephone_number": "346-357-3482",
"fax_number": "832-201-6727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6301 RICHMOND AVE STE 103",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770575905",
"telephone_number": "346-357-3482",
"fax_number": "832-201-6727"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHREE SIDDHIVINAYAK ENTERPRISE INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-21",
"last_updated": "2022-06-10",
"certification_date": "2022-06-10",
"status": "A",
"authorized_official_last_name": "KHEIRBECK",
"authorized_official_first_name": "ISSAM",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "817-304-2673",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "26554",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146040",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2121145",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HULEN PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "HULEN 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 Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.