Organization Active NPI

Vietnam Pharmacy

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1417012840
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
15886 Issued in TX
Legal business name
VIETNAM PHARMACY
Practice address
2621 Milam St Ste C
Suite C
Houston, TX 77006-2300
Phone
(713) 520-0205
Fax
(713) 520-9714
NPI assigned
Dec 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Thuy Le
Title
Pic
Phone
(715) 520-0205

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 15886 TX Primary

Addresses

Primary practice location

2621 Milam St Ste C
Suite C
Houston, TX 77006-2300

Mailing address

2621 Milam Street
Suite C
Houston, TX 77006-2300
Phone (713) 520-0205

Other identifiers 3

IdentifierTypeStateIssuer
1439418MedicaidTX
4578564OtherOTHER ID NUMBER-COMMERCIAL NUMBER
4578564OtherOTHER ID NUMBER

Other names 1

  • VIETNAM PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

2621 Milam St
Ste C
Houston, TX 77006
Phone (713) 520-0205

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1417012840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 MILAM STREET",
            "address_2": "SUITE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770062300",
            "telephone_number": "713-520-0205",
            "fax_number": "713-520-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 MILAM ST STE C",
            "address_2": "SUITE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770062300",
            "telephone_number": "713-520-0205",
            "fax_number": "713-520-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIETNAM PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "THUY",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "715-520-0205"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "15886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1439418",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4578564",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4578564",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIETNAM PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.