Active NPI
Tulson Pharmacy, LLC
Doing business as Tulson Pharmacy
- Community/Retail Pharmacy
- Houston, TX
National Provider Identifier
1346857471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- TULSON PHARMACY, LLC
- Doing business as
- Tulson Pharmacy
- Practice address
- 3235 Holman St
Houston, TX 77004-3541 - Phone
- (832) 412-2973
- Fax
- (832) 604-3602
- NPI assigned
- Sep 23, 2020
- 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
- Dezra Dean Coffman
- Title
- Owner
- Phone
- (832) 412-2973
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
3235 Holman St
Houston, TX 77004-3541
Mailing address
3235 Holman St
Houston, TX 77004-3541
Phone (832) 412-2973
Other names 1
- Tulson Pharmacy
National Provider Directory
National Provider DirectoryLocations
3235 Holman St
Houston, TX 77004
Phone (832) 412-2973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600819200000",
"number": "1346857471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3235 HOLMAN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770043541",
"telephone_number": "832-412-2973",
"fax_number": "832-604-3602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3235 HOLMAN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770043541",
"telephone_number": "832-412-2973",
"fax_number": "832-604-3602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TULSON PHARMACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-23",
"last_updated": "2020-09-23",
"certification_date": "2020-09-23",
"status": "A",
"authorized_official_last_name": "COFFMAN",
"authorized_official_first_name": "DEZRA",
"authorized_official_middle_name": "DEAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "832-412-2973"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tulson 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 Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.