Organization Active NPI

Jeff'S Topcare Pharmacy

  • Community/Retail Pharmacy
  • Spring, TX
National Provider Identifier
1356810840
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
JEFF'S TOPCARE PHARMACY
Practice address
4901 FM 2920 Rd
Spring, TX 77388-3112
Phone
(346) 412-9556
Fax
(832) 861-0082
NPI assigned
Nov 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Authorized official

Name
Mr. Jeff Baek, RPHNPI 1073842886
Title
President
Phone
(346) 412-9556

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 1835P0018X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

4901 FM 2920 Rd
Spring, TX 77388-3112

Mailing address

4901 FM 2920 Rd
Spring, TX 77388-3112
Phone (346) 412-9556

Other identifiers 1

IdentifierTypeStateIssuer
149948MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeff@jeffstopcarerx.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20201228000830 TX Part B Supplier - Pharmacy 6305259995 Practice locations: Spring, TX
O20210310000696 TX Part B Supplier - Mass Immunization (Roster Biller Only) 6305259995 Practice locations: Spring, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2217605Jeff'S Topcare Pharmacy4901 FM 2920 Road, Spring, TX 77388Certificate of waiverMar 21, 2027

National Provider Directory

National Provider Directory

Locations

4901 FM 2920 Rd
Spring, TX 77388
Phone (346) 412-9556

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1356810840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 FM 2920 RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773883112",
            "telephone_number": "346-412-9556",
            "fax_number": "832-861-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 FM 2920 RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773883112",
            "telephone_number": "346-412-9556",
            "fax_number": "832-861-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF'S TOPCARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-14",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "BAEK",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "346-412-9556",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149948",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeff@jeffstopcarerx.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "4901 Fm 2920 Rd",
            "city": "Spring",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773883112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.