Organization Active NPI

David P Ellent PLLC

Doing business as BVA United Pharmacy

  • Community/Retail Pharmacy
  • Shenandoah, TX
National Provider Identifier
1427614841
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DAVID P ELLENT PLLC
Doing business as
BVA United Pharmacy
Practice address
8845 Six Pines Dr Ste 201
Shenandoah, TX 77380-2675
Phone
(281) 465-1767
Fax
(281) 298-3367
NPI assigned
May 10, 2019
Last updated
Dec 20, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
DAVID P. ELLENT PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Authorized official

Name
Vicky Darlene Titus
Title
Administrator
Phone
(281) 440-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

8845 Six Pines Dr Ste 201
Shenandoah, TX 77380-2675

Mailing address

8845 Six Pines Dr Ste 201
Shenandoah, TX 77380-2675
Phone (281) 465-1767

Other names 1

  • BVA United Pharmacy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pharmacy@genesisdoctors.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200106000218 TX DME Supplier - Pharmacy 7012290885 Practice locations: Shenandoah, TX

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Bva United Pharmacy8845 Six Pines Dr, Shenandoah, TX 77380(281) 465-1767 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Feb 1, 2017

National Provider Directory

National Provider Directory
Part of
David P Ellent PLLC

Locations

8845 Six Pines Dr
Ste 201
Shenandoah, TX 77380
Phone (281) 465-1767

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1427614841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8845 SIX PINES DR STE 201",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773802675",
            "telephone_number": "281-465-1767",
            "fax_number": "281-298-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8845 SIX PINES DR STE 201",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773802675",
            "telephone_number": "281-465-1767",
            "fax_number": "281-298-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID P ELLENT PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVID P. ELLENT PLLC",
        "enumeration_date": "2019-05-10",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "TITUS",
        "authorized_official_first_name": "VICKY",
        "authorized_official_middle_name": "DARLENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-440-5300"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pharmacy@genesisdoctors.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8845 Six Pines Dr Ste 201",
            "city": "Shenandoah",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773802675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "BVA United Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BVA United Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.