Providence Concepts Incorporated

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

27504 Issued in TX

Legal business name

PROVIDENCE CONCEPTS INCORPORATED

Doing business as

Providence Care No. 3

Practice address

1009 Main St
Pasadena, TX 77506-4557

Phone

(713) 472-1212

NPI assigned

Jun 3, 2011

Organization subpart

No

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

Authorized official

Name

Erin Silva

Title

Director

Phone

(713) 598-2058

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Providence Care No. 3 Doing business as

Locations

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312761600000",
    "number": "1427342815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 PARKER ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770077438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 MAIN ST",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775064557",
            "telephone_number": "713-472-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE CONCEPTS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-03",
        "last_updated": "2011-08-08",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "713-598-2058"
    },
    "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": "27504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5903326",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Care No. 3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.