Active NPI
HDK Enterprises LLC
Doing business as Southside Pharmacy 9
- Community/Retail Pharmacy
- The Woodlands, TX
National Provider Identifier
1457749590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 29706
- Legal business name
- HDK ENTERPRISES LLC
- Doing business as
- Southside Pharmacy 9
- Practice address
- 1111 Medical Plaza Dr
Suite 160
The Woodlands, TX 77380-3476 - Phone
- (832) 813-5296
- Fax
- (832) 813-8495
- NPI assigned
- Dec 23, 2014
- 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. Amit Jain
- Title
- Ceo
- Phone
- (832) 813-5296
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 29706 | TX | Primary |
Addresses
Primary practice location
1111 Medical Plaza Dr
Suite 160
The Woodlands, TX 77380-3476
Mailing address
7700 Main St
Suite 200
Houston, TX 77030-4456
Phone (713) 660-8888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29706 | Other | TX | STATE BOARD OF PHARMACY LICENSE |
Other names 1
- Southside Pharmacy 9
National Provider Directory
National Provider Directory- Tax ID family
- HDK Enterprises LLC
Other organizations with this tax ID 7
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Southside Pharmacy - II
- Community/Retail Pharmacy
- Houston, TX
- NPI 1316155872
-
- Home Infusion Therapy Pharmacy
- Houston, TX
- NPI 1932144805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1513036800000",
"number": "1457749590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7700 MAIN ST",
"address_2": "SUITE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304456",
"telephone_number": "713-660-8888",
"fax_number": "713-661-4828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 MEDICAL PLAZA DR",
"address_2": "SUITE 160",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773803476",
"telephone_number": "832-813-5296",
"fax_number": "832-813-8495"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HDK ENTERPRISES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-23",
"last_updated": "2017-12-12",
"status": "A",
"authorized_official_last_name": "JAIN",
"authorized_official_first_name": "AMIT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "832-813-5296",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "29706",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF PHARMACY LICENSE",
"identifier": "29706",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Southside Pharmacy 9",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in The Woodlands, TX
- Hays Behavioral Health Group
- Hazem El Zufari MD PA
- Olivia Hazen
- Holly H Hazlett, M.D.
- HBP Leaseco, L.L.C. (Horizon Bay Assisted Living and Memory Care at The Woodlands)
- Wei He, M.D.
- Elizabeth Ann Headley, COTA/L
- Healing Hive of the Woodlands, PLLC
- Healthmark Partners, L.L.C.
- Healthway Solutions PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.