Organization Active NPI

Al Bahrain Enterprises LLC

Doing business as Moxie Pharmacy

  • Community/Retail Pharmacy
  • Stafford, TX
National Provider Identifier
1457074379
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
AL BAHRAIN ENTERPRISES LLC
Doing business as
Moxie Pharmacy
Practice address
802 Texas Pkwy Ste 2a
Stafford, TX 77477-6400
Phone
(281) 969-8695
Fax
(832) 539-1014
NPI assigned
Sep 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Authorized official

Name
Mr. Ivory Mayhorn
Title
Managing Member
Phone
(281) 808-6393

Specialties & licenses 1

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

Addresses

Primary practice location

802 Texas Pkwy Ste 2a
Stafford, TX 77477-6400

Mailing address

802 Texas Pkwy Ste 2a
Stafford, TX 77477-6400
Phone (281) 969-8695

Other names 1

  • Moxie Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1457074379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 TEXAS PKWY STE 2A",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774776400",
            "telephone_number": "281-969-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 TEXAS PKWY STE 2A",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774776400",
            "telephone_number": "281-969-8695",
            "fax_number": "832-539-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AL BAHRAIN ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "MAYHORN",
        "authorized_official_first_name": "IVORY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "281-808-6393",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moxie Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.