Organization Active NPI

Millennium Physicians Association PLLC

  • Specialty Pharmacy
  • The Woodlands, TX
National Provider Identifier
1386973568
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
26723 Issued in TX
Legal business name
MILLENNIUM PHYSICIANS ASSOCIATION PLLC
Practice address
9319 Pinecroft Dr Ste 110
The Woodlands, TX 77380-3485
Phone
(281) 298-1129
Fax
(281) 298-1168
NPI assigned
Dec 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Authorized official

Name
Dr. Del Ingram, PHARMD, RPHNPI 1518426055
Title
Pic
Phone
(281) 298-1129

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
Community/Retail Pharmacy 3336C0003X
Specialty Pharmacy 3336S0011X 26723 TX Primary

Addresses

Primary practice location

9319 Pinecroft Dr Ste 110
The Woodlands, TX 77380-3485

Mailing address

22710 Professional Dr
Suite 100
Kingwood, TX 77339-6008
Phone (281) 298-1129

Other identifiers 2

IdentifierTypeStateIssuer
146280MedicaidTX
2123733OtherPK

Other names 1

  • Millennium Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

9319 Pinecroft Dr
Ste 110
The Woodlands, TX 77380
Phone (281) 298-1129

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1386973568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22710 PROFESSIONAL DR",
            "address_2": "SUITE 100",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773396008",
            "telephone_number": "281-298-1129",
            "fax_number": "281-298-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9319 PINECROFT DR STE 110",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803485",
            "telephone_number": "281-298-1129",
            "fax_number": "281-298-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM PHYSICIANS ASSOCIATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2019-07-23",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "DEL",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "281-298-1129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD, RPH"
    },
    "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": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "TX",
            "license": "26723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146280",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2123733",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millennium Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Millennium Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.