Active NPI
Vietnam Pharmacy
- Community/Retail Pharmacy
- Houston, TX
National Provider Identifier
1417012840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 15886
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1439418 | Medicaid | TX | |
| 4578564 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 4578564 | Other | OTHER ID NUMBER |
Other names 1
- VIETNAM PHARMACY
National Provider Directory
National Provider DirectoryLocations
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.