Organization Active NPI

P.S.P. Enterprise Inc.

Doing business as Heights-Studewood Pharmacy

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1346276029
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
24449 Issued in TX
Legal business name
P.S.P. ENTERPRISE INC.
Doing business as
Heights-Studewood Pharmacy
Practice address
512 E 11TH St BLDG a
Houston, TX 77008-7004
Phone
(713) 869-2225
Fax
(713) 869-0088
NPI assigned
Jun 24, 2006
Last updated
Apr 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Elizabeth Serna, PHARMDNPI 1902191869
Title
President
Phone
(713) 869-2225

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 24449 TX Primary

Addresses

Primary practice location

512 E 11TH St BLDG a
Houston, TX 77008-7004

Mailing address

512 E 11TH St BLDG a
Houston, TX 77008-7004
Phone (713) 869-2225

Other identifiers 2

IdentifierTypeStateIssuer
148435MedicaidTX
2098912OtherPK

Other names 1

  • Heights-Studewood Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200203001997 TX Part B Supplier - Pharmacy 8123454519 Practice locations: Houston, TX

National Provider Directory

National Provider Directory
Tax ID family
Heights-Studewood Pharmacy2 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

427 W 20th St
Ste 105
Houston, TX 77008
Phone (713) 869-2225

512 E 11th St
Bldg A
Houston, TX 77008
Phone (713) 869-2225

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1346276029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 E 11TH ST BLDG A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770087004",
            "telephone_number": "713-869-2225",
            "fax_number": "713-869-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 E 11TH ST BLDG A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770087004",
            "telephone_number": "713-869-2225",
            "fax_number": "713-869-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.S.P. ENTERPRISE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "SERNA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-869-2225",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "24449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148435",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2098912",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heights-Studewood 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 Apr 1, 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.