Organization Active NPI

Greatwood Pharmacy LLC

  • Community/Retail Pharmacy
  • Sugar Land, TX
National Provider Identifier
1346967767
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GREATWOOD PHARMACY LLC
Practice address
19855 Southwest Fwy Ste 220
Sugar Land, TX 77479-6536
Phone
(281) 207-1075
Fax
(281) 207-1076
NPI assigned
Oct 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Authorized official

Name
Mr. James R Rutherford
Title
Officer
Phone
(281) 207-1075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

19855 Southwest Fwy Ste 220
Sugar Land, TX 77479-6536

Mailing address

19855 Southwest Fwy Ste 220
Sugar Land, TX 77479-6536
Phone (281) 207-1075

Other names 1

  • GREATWOOD PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230220000906 TX Part B Supplier - Pharmacy 0345612438 Practice locations: Sugar Land, TX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1346967767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19855 SOUTHWEST FWY STE 220",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796536",
            "telephone_number": "281-207-1075",
            "fax_number": "281-207-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19855 SOUTHWEST FWY STE 220",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796536",
            "telephone_number": "281-207-1075",
            "fax_number": "281-207-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATWOOD PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "RUTHERFORD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "281-207-1075",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREATWOOD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 24, 2025; 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.