Organization Active NPI

United Texan Pharmacy

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1427638428
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
UNITED TEXAN PHARMACY
Practice address
2909 Hillcroft St Ste 602
Houston, TX 77057-5847
Phone
(281) 888-4139
Fax
(281) 720-5131
NPI assigned
Apr 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Dr. Demontrion C Peters, PHARM. DNPI 1295315406
Title
Owner / Pharmacist
Phone
(713) 289-4825

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

2909 Hillcroft St Ste 602
Houston, TX 77057-5847

Mailing address

2909 Hillcroft St Ste 602
Houston, TX 77057-5847
Phone (281) 888-4139

Other identifiers 1

IdentifierTypeStateIssuer
33718OtherTXTEXAS STATE BOARD OF PHARMACY LICENSE

National Provider Directory

National Provider Directory

Locations

2909 Hillcroft Ave
Ste 602
Houston, TX 77057
Phone (281) 888-4139

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1427638428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 HILLCROFT ST STE 602",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575847",
            "telephone_number": "281-888-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 HILLCROFT ST STE 602",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575847",
            "telephone_number": "281-888-4139",
            "fax_number": "281-720-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED TEXAN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "DEMONTRION",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER / PHARMACIST",
        "authorized_official_telephone_number": "713-289-4825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM. D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF PHARMACY LICENSE",
            "identifier": "33718",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 16, 2023; 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.