Active NPI
Family Pharmacy, Inc
- Community/Retail Pharmacy
- Pasadena, TX
National Provider Identifier
1407917495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 22808
- Legal business name
- FAMILY PHARMACY, INC
- Practice address
- 2418 Southmore
Pasadena, TX 77502 - Phone
- (713) 472-3138
- Fax
- (713) 472-2029
- NPI assigned
- Dec 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonathan Baker
- Title
- Pharmacy Owner
- Phone
- (713) 472-3138
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 22808 | TX | Primary |
Addresses
Primary practice location
2418 Southmore
Pasadena, TX 77502
Mailing address
2418 Southmore
Pasadena, TX 77502
Phone (713) 472-3138
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145323 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
2418 Southmore Ave
Pasadena, TX 77502
Phone (713) 472-2700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642636800000",
"number": "1407917495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2418 SOUTHMORE",
"city": "PASADENA",
"state": "TX",
"postal_code": "77502",
"telephone_number": "713-472-3138",
"fax_number": "713-472-2029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2418 SOUTHMORE",
"city": "PASADENA",
"state": "TX",
"postal_code": "77502",
"telephone_number": "713-472-3138",
"fax_number": "713-472-2029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY PHARMACY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-13",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "PHARMACY OWNER",
"authorized_official_telephone_number": "713-472-3138"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "22808",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "145323",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
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 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.