Elite RX Compounding and Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ELITE RX COMPOUNDING AND PHARMACY LLC

Practice address

8035 Highway 6 Ste 130
Missouri City, TX 77459-2818

Phone

(281) 915-2166

Fax

(281) 915-2164

NPI assigned

Aug 16, 2021

Last updated

Jan 20, 2022By 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

Fatima Ellis-Otoo, PHARM.D.NPI 1861138752

Title

Manager

Phone

(513) 407-2867

Specialties & licenses 4

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fatima Ellis-Otoo

  • Pharmacist
  • Missouri City, TX
  • NPI 1861138752
  NPD Authorized official
• Hagop Vahe Derkhorenian, R.PH.

  • Pharmacist
  • Missouri City, TX
  • NPI 1144912916
  NPD

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1396411849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12220 HARMONY HALL CT",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775844418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8035 HIGHWAY 6 STE 130",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592818",
            "telephone_number": "281-915-2166",
            "fax_number": "281-915-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE RX COMPOUNDING AND PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-16",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "ELLIS-OTOO",
        "authorized_official_first_name": "FATIMA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "513-407-2867",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elissa R Wedemeyer
• Elissa R Wedemeyer OD PLLC
• Elite Footcare of Texas Inc.
• Elite Medical Credentialing & Consulting Services
• Elite Pharmacy Services, LLC (Discount Plus Pharmacy)
• Elite Transportation Services
• Carolyn Maria Elliott, M.S., CCC-SLP
• Fatima Ellis-Otoo
• Shalonda Ellis, LMT
• Elnas, Inc

• Community/Retail Pharmacy in Missouri City, TX
• Providers in Missouri City, 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 Jan 20, 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.