NPIMap

Organization Active NPI

Texas Children's Hospital

Doing business as Texas Children's Hospital - Specialty Pharmacy

  • Community/Retail Pharmacy
  • Missouri City, TX
National Provider Identifier
1386278406
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
TEXAS CHILDREN'S HOSPITAL
Doing business as
Texas Children's Hospital - Specialty Pharmacy
Practice address
12613 Citypark Dr Ste 200
RM. 130.02
Missouri City, TX 77489-1244
Phone
(877) 727-2503
Fax
(832) 825-1007
NPI assigned
Feb 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Authorized official

Name
Weldon Gage
Title
Cfo
Phone
(832) 828-3660

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

12613 Citypark Dr Ste 200
RM. 130.02
Missouri City, TX 77489-1244

Mailing address

12613 Citypark Dr Ste 200
RM. 130.02
Missouri City, TX 77489-1244
Phone (877) 727-2503

Other identifiers 1

IdentifierTypeStateIssuer
1386278406MedicaidTX

Other names 1

  • Texas Children's Hospital - Specialty Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Exempt-110 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

1250 Moursund St
Ste 825
Houston, TX 77030

NPI Registry JSON

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1386278406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12613 CITYPARK DR STE 200",
            "address_2": "RM. 130.02",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774891244",
            "telephone_number": "877-727-2503",
            "fax_number": "832-825-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12613 CITYPARK DR STE 200",
            "address_2": "RM. 130.02",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774891244",
            "telephone_number": "877-727-2503",
            "fax_number": "832-825-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS CHILDREN'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-27",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "GAGE",
        "authorized_official_first_name": "WELDON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "832-828-3660"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386278406",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Children's Hospital - Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Texas Children's Hospital - Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.