Organization Active NPI

Bayshore Pharmacy Inc

Doing business as Bayshore Pharmacy

  • Community/Retail Pharmacy
  • Pasadena, TX
National Provider Identifier
1407872658
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
24424 Issued in TX
Legal business name
BAYSHORE PHARMACY INC
Doing business as
Bayshore Pharmacy
Practice address
3315 Burke Rd Ste 201
Pasadena, TX 77504-1823
Phone
(713) 944-8893
Fax
(713) 944-8890
NPI assigned
Jul 14, 2006
Last updated
Jan 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Authorized official

Name
Ali Haija, RPHNPI 1366468662
Title
President
Phone
(832) 606-2583

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 24424 TX Primary

Addresses

Primary practice location

3315 Burke Rd Ste 201
Pasadena, TX 77504-1823

Mailing address

3315 Burke Rd Ste 201
Pasadena, TX 77504-1823
Phone (832) 606-2583

Other identifiers 2

IdentifierTypeStateIssuer
2098839OtherPK
145607MedicaidTX

Other names 1

  • BAYSHORE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

4024A Brookhaven Ave
Pasadena, TX 77504
Phone (713) 944-8893

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1407872658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 BURKE RD STE 201",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041823",
            "telephone_number": "832-606-2583",
            "fax_number": "713-944-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 BURKE RD STE 201",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041823",
            "telephone_number": "713-944-8893",
            "fax_number": "713-944-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSHORE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "HAIJA",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-606-2583",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "24424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2098839",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145607",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAYSHORE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BAYSHORE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.