Active NPI
Fuertes Inc
- Community/Retail Pharmacy
- Houston, TX
National Provider Identifier
1447411798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 26018
- Legal business name
- FUERTES INC
- Practice address
- 2510 Broad St
Ste 100
Houston, TX 77087-1445 - Phone
- (713) 641-1383
- Fax
- (713) 641-1034
- NPI assigned
- Jun 19, 2008
- 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
- Efren Fuentes
- Title
- Owner
- Phone
- (281) 827-3757
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 26018 | TX | Primary |
Addresses
Primary practice location
2510 Broad St
Ste 100
Houston, TX 77087-1445
Mailing address
2510 Broad St
Ste 100
Houston, TX 77087-1445
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4548636 | Other | OTHER ID NUMBER |
Other names 1
- MY PHARMACY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213833600000",
"number": "1447411798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 BROAD ST",
"address_2": "STE 100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770871445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 BROAD ST",
"address_2": "STE 100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770871445",
"telephone_number": "713-641-1383",
"fax_number": "713-641-1034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FUERTES INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-19",
"last_updated": "2008-06-19",
"status": "A",
"authorized_official_last_name": "FUENTES",
"authorized_official_first_name": "EFREN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "281-827-3757"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "26018",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "4548636",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MY 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 Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.