Organization Active NPI

Shree Siddhivinayak Enterprise Inc

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1326278656
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
26554 Issued in TX
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

Updated by the provider on Jun 10, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
146040MedicaidTX
2121145OtherPK

Other names 1

  • HULEN PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.