Organization Active NPI

Mason Pharmacy LLC

Doing business as Mason Pharmacy

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1447812953
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MASON PHARMACY LLC
Doing business as
Mason Pharmacy
Practice address
17531 FM 529 Rd Ste 400
Houston, TX 77095-1181
Phone
(832) 427-5785
Fax
(832) 427-6549
NPI assigned
Jul 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Authorized official

Name
Kaithlyn Khau
Title
Owner
Phone
(832) 427-5785

Specialties & licenses 1

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

Addresses

Primary practice location

17531 FM 529 Rd Ste 400
Houston, TX 77095-1181

Mailing address

17531 FM 529 Rd Ste 400
Houston, TX 77095-1181
Phone (832) 427-5785

Other names 1

  • MASON PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210310000359 TX Part B Supplier - Mass Immunization (Roster Biller Only) 4688080070 Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

17531 FM 529 Rd
Ste 400
Houston, TX 77095
Phone (832) 427-5785

NPI Registry JSON

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

{
    "created_epoch": "1562198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1447812953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17531 FM 529 RD STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770951181",
            "telephone_number": "832-427-5785",
            "fax_number": "832-427-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17531 FM 529 RD STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770951181",
            "telephone_number": "832-427-5785",
            "fax_number": "832-427-6549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-04",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "KHAU",
        "authorized_official_first_name": "KAITHLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-427-5785"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MASON 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 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.