BNC Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

25931 Issued in TX

Legal business name

BNC PHARMACY LLC

Doing business as

Lifemed Pharmacy

Practice address

6565 Demoss
Ste 104C
Houston, TX 77074

Phone

(713) 773-3800

Fax

(713) 773-3865

NPI assigned

Mar 14, 2008

Last updated

Mar 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chidebem Nwosu

Title

Mang

Phone

(713) 773-3800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LIFEMED PHARMACY Doing business as

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1386815660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 DEMOSS",
            "address_2": "STE 104C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 DEMOSS",
            "address_2": "STE 104C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77074",
            "telephone_number": "713-773-3800",
            "fax_number": "713-773-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BNC PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "NWOSU",
        "authorized_official_first_name": "CHIDEBEM",
        "authorized_official_title_or_position": "MANG",
        "authorized_official_telephone_number": "713-773-3800"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "25931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4547800",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFEMED PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Houston, TX
• Providers in Houston, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; 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.