Organization Active NPI

Prosper Compounding Pharmacy LLC

  • Community/Retail Pharmacy
  • Sugar Land, TX
National Provider Identifier
1326869728
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PROSPER COMPOUNDING PHARMACY LLC
Practice address
3527 Highway 6 Ste 250a
Sugar Land, TX 77478-4523
Phone
(281) 302-5454
Fax
(281) 302-5583
NPI assigned
Oct 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Uzoamaka Balonwu
Title
President
Phone
(832) 236-5852

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

3527 Highway 6 Ste 250a
Sugar Land, TX 77478-4523

Mailing address

3527 Highway 6 Ste 250
Sugar Land, TX 77478-4523
Phone (281) 302-5454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241118001348 TX Part B Supplier - Pharmacy 4385178045 Practice locations: Sugar Land, TX

National Provider Directory

National Provider Directory

Locations

3527 Highway 6
Ste 250A
Sugar Land, TX 77478
Phone (281) 302-5454

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": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1326869728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3527 HIGHWAY 6 STE 250",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784523",
            "telephone_number": "281-302-5454",
            "fax_number": "281-302-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3527 HIGHWAY 6 STE 250A",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784523",
            "telephone_number": "281-302-5454",
            "fax_number": "281-302-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPER COMPOUNDING PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "BALONWU",
        "authorized_official_first_name": "UZOAMAKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-236-5852"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 17, 2024; 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.