NPIMap

Organization Active NPI

East Texas Clinical Services, Inc

  • Community/Retail Pharmacy
  • The Woodlands, TX
National Provider Identifier
1356640254
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
31458 Issued in TX
Legal business name
EAST TEXAS CLINICAL SERVICES, INC
Practice address
17521 St. Luke'S Way
Suite 120
The Woodlands, TX 77384
Phone
(936) 447-9432
Fax
(832) 201-8622
NPI assigned
Mar 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Authorized official

Name
Mrs. Cynthia West
Title
Coo
Phone
(832) 246-8066

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Community/Retail Pharmacy 3336C0003X 31458 TX Primary

Addresses

Primary practice location

17521 St. Luke'S Way
Suite 120
The Woodlands, TX 77384

Mailing address

17521 St. Luke'S Way
Suite 120
The Woodlands, TX 77384
Phone (936) 447-9432

Other names 1

  • CHI St. Luke's Health Neighborhood Pharmacy #3 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Care for You Provider Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1356640254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17521 ST. LUKE'S WAY",
            "address_2": "SUITE 120",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77384",
            "telephone_number": "936-447-9432",
            "fax_number": "832-201-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17521 ST. LUKE'S WAY",
            "address_2": "SUITE 120",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77384",
            "telephone_number": "936-447-9432",
            "fax_number": "832-201-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS CLINICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "832-246-8066",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "31458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHI St. Luke's Health Neighborhood Pharmacy #3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.