NPIMap

Organization Active NPI

University of Texas Medical Branch at Galveston

  • Community/Retail Pharmacy
  • League City, TX
National Provider Identifier
1386026367
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Practice address
2240 Gulf Fwy S
Pharmacy Room 2.203
League City, TX 77573-5143
Phone
(832) 505-3172
NPI assigned
Jun 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

Name
Dr. Jochen Reiser, MD
Title
President
Phone
(409) 772-1909

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 130036 TX
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2240 Gulf Fwy S
Pharmacy Room 2.203
League City, TX 77573-5143

Mailing address

301 University Blvd
Route 0115
Galveston, TX 77555-0115
Phone (409) 747-8783

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20151228001661 TX DME Supplier - Pharmacy 3779493580 Practice locations: League City, TX
O20220916000890 TX Part B Supplier - Pharmacy 3779493580 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Galveston, TX; Webster, TX; League City, TX; Friendswood, TX

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
45D2005774University of Texas Medical Branch2240 Gulf Freeway South, League City, TX 77573AccreditationMay 30, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Utmb Health League City Campus2240 Gulf Fwy S, League City, TX 77573-5143(832) 505-3170 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Feb 19, 2019

National Provider Directory

National Provider Directory
Tax ID family
Camp Cullen Child Dial Ctr19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Locations

301 University Blvd
#401
Galveston, TX 77555

2240 Gulf Fwy S
Rm 2203
League City, TX 77573
Phone (832) 505-3172

NPI Registry JSON

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1386026367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "address_2": "ROUTE 0115",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550115",
            "telephone_number": "409-747-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 GULF FWY S",
            "address_2": "PHARMACY ROOM 2.203",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775735143",
            "telephone_number": "832-505-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-25",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "REISER",
        "authorized_official_first_name": "JOCHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-772-1909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "TX",
            "license": "130036",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.