Organization Active NPI

Fondren Pharmacy

  • Pharmacist
  • Houston, TX
National Provider Identifier
1386762615
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
37212 Issued in TX
Legal business name
FONDREN PHARMACY
Practice address
9600 Fondren Rd Ste B3
Houston, TX 77096-3682
Phone
(713) 773-1477
Fax
(713) 773-1211
NPI assigned
Mar 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Loranda Latonya Hellen, RPH
Title
Pharmacist
Phone
(713) 773-1477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 37212 TX Primary

Addresses

Primary practice location

9600 Fondren Rd Ste B3
Houston, TX 77096-3682

Mailing address

9600 Fondren Rd Ste B3
Houston, TX 77096-3682
Phone (713) 773-1477

Other identifiers 1

IdentifierTypeStateIssuer
145266MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386762615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 FONDREN RD STE B3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770963682",
            "telephone_number": "713-773-1477",
            "fax_number": "713-773-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 FONDREN RD STE B3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770963682",
            "telephone_number": "713-773-1477",
            "fax_number": "713-773-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FONDREN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HELLEN",
        "authorized_official_first_name": "LORANDA",
        "authorized_official_middle_name": "LATONYA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "713-773-1477",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "37212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145266",
            "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 Aug 22, 2020; 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.