Active NPI
Al Bahrain Enterprises LLC
Doing business as Moxie Pharmacy
- Community/Retail Pharmacy
- Stafford, TX
National Provider Identifier
1457074379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.