Organization Active NPI

Tulson Pharmacy, LLC

Doing business as Tulson Pharmacy

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1346857471
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Sep 23, 2020

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.