Organization Active NPI

Family Pharmacy, Inc

  • Community/Retail Pharmacy
  • Pasadena, TX
National Provider Identifier
1407917495
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
22808 Issued in TX
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

Updated by the provider on Jan 20, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
145323MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.