NPIMap

Organization Active NPI

North Shore Pharmacy LLC

Doing business as North Shore Pharmacy

  • Community/Retail Pharmacy
  • Spring Branch, TX
National Provider Identifier
1386087229
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28640 Issued in TX
Legal business name
NORTH SHORE PHARMACY LLC
Doing business as
North Shore Pharmacy
Practice address
113 Stargrass Ste 100
Spring Branch, TX 78070-5165
Phone
(830) 214-2920
Fax
(830) 935-4532
NPI assigned
Apr 10, 2013
Last updated
Mar 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Authorized official

Name
Jacob LewisNPI 1750675534
Title
Pharmacist-in-Charge/Owner
Phone
(505) 710-3471

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 28640 TX Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

113 Stargrass Ste 100
Spring Branch, TX 78070-5165

Mailing address

113 Stargrass
Suite 100
Spring Branch, TX 78070-5164
Phone (830) 214-2920

Other identifiers 1

IdentifierTypeStateIssuer
2139811OtherPK

Other names 1

  • North Shore Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1386087229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 STARGRASS",
            "address_2": "SUITE 100",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780705164",
            "telephone_number": "830-214-2920",
            "fax_number": "830-935-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 STARGRASS STE 100",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780705165",
            "telephone_number": "830-214-2920",
            "fax_number": "830-935-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE/OWNER",
        "authorized_official_telephone_number": "505-710-3471"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "28640",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139811",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Shore Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.