NPIMap

Organization Active NPI

East Texas Clinical Services

Doing business as CHI St Lukes Health Neighborhood Pharmacy 2

  • Community/Retail Pharmacy
  • Conroe, TX
National Provider Identifier
1386873792
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
31457 Issued in TX
Legal business name
EAST TEXAS CLINICAL SERVICES
Doing business as
CHI St Lukes Health Neighborhood Pharmacy 2
Practice address
3251 I-45 North
Suite 190
Conroe, TX 77304
Phone
(936) 788-7700
Fax
(936) 788-7717
NPI assigned
Jul 7, 2009
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Cynthia West
Title
C.O.O.
Phone
(832) 246-8006

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Community/Retail Pharmacy 3336C0003X 31457 TX Primary

Addresses

Primary practice location

3251 I-45 North
Suite 190
Conroe, TX 77304

Mailing address

3251 I-45 North
Suite 190
Conroe, TX 77304
Phone (936) 788-7700

Other names 1

  • CHI St Lukes Health Neighborhood Pharmacy 2 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
East Texas Clinical Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1386873792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 I-45 NORTH",
            "address_2": "SUITE 190",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "77304",
            "telephone_number": "936-788-7700",
            "fax_number": "936-788-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 I-45 NORTH",
            "address_2": "SUITE 190",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "77304",
            "telephone_number": "936-788-7700",
            "fax_number": "936-788-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS CLINICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "C.O.O.",
        "authorized_official_telephone_number": "832-246-8006"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "31457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHI St Lukes Health Neighborhood Pharmacy 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.