Organization Active NPI

West Houston Specialty Pharmacy

  • Compounding Pharmacy
  • Houston, TX
National Provider Identifier
1356652713
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
26939 Issued in TX
Legal business name
WEST HOUSTON SPECIALTY PHARMACY
Practice address
12579 Richmond Ave
Suite 300a
Houston, TX 77082-2552
Phone
(281) 556-9477
Fax
(281) 558-8505
NPI assigned
Jun 30, 2010
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Khandoker Rafiqul Haque, RPH
Title
Pharmacist in Charge
Phone
(281) 691-0419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X 26939 TX Primary

Addresses

Primary practice location

12579 Richmond Ave
Suite 300a
Houston, TX 77082-2552

Mailing address

12579 Richmond Ave
Suite 300a
Houston, TX 77082-2552
Phone (281) 556-9477

Other identifiers 2

IdentifierTypeStateIssuer
26939OtherTXTEXAS STATE BOARD OF PHARMACY
R0173117OtherTXTEXAS DEPARTMENT OF PUBLIC SAFETY

National Provider Directory

National Provider Directory
Tax ID family
Allcare Pharmacy LLC2 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

12579 Richmond Ave
Ste 300A
Houston, TX 77082
Phone (281) 556-9477

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1356652713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12579 RICHMOND AVE",
            "address_2": "SUITE 300A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822552",
            "telephone_number": "281-556-9477",
            "fax_number": "281-558-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12579 RICHMOND AVE",
            "address_2": "SUITE 300A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822552",
            "telephone_number": "281-556-9477",
            "fax_number": "281-558-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST HOUSTON SPECIALTY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HAQUE",
        "authorized_official_first_name": "KHANDOKER",
        "authorized_official_middle_name": "RAFIQUL",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "281-691-0419",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "TX",
            "license": "26939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF PHARMACY",
            "identifier": "26939",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF PUBLIC SAFETY",
            "identifier": "R0173117",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 7, 2023; 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.