NCC PLLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

NCC PLLC

Practice address

2620 E Crosstimbers St Ste 145
Houston, TX 77093-8629

Phone

(281) 501-2228

Fax

(281) 605-5657

NPI assigned

Feb 1, 2018

Organization subpart

No

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

Authorized official

Name

Saju Asthappan

Title

Owner

Phone

(281) 501-2228

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• maxcare family pharmacy Doing business as

Locations

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580688000000",
    "number": "1407354707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 E CROSSTIMBERS ST STE 145",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770938629",
            "telephone_number": "281-501-2228",
            "fax_number": "281-605-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 E CROSSTIMBERS ST STE 145",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770938629",
            "telephone_number": "281-501-2228",
            "fax_number": "281-605-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NCC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-01",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A",
        "authorized_official_last_name": "ASTHAPPAN",
        "authorized_official_first_name": "SAJU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-501-2228"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150030",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "maxcare family pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "maxcare family 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 Feb 3, 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.