Organization Active NPI

PR Pharmacy

  • Community/Retail Pharmacy
  • Missouri City, TX
National Provider Identifier
1467707299
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28039 Issued in TX
Legal business name
PR PHARMACY
Practice address
5819 Highway 6 Ste 160
Missouri City, TX 77459-4069
Phone
(832) 230-8027
Fax
(832) 230-8676
NPI assigned
Jul 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Authorized official

Name
Mariamma Kalathil
Title
Owner
Phone
(832) 605-4329

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28039 TX Primary

Addresses

Primary practice location

5819 Highway 6 Ste 160
Missouri City, TX 77459-4069

Mailing address

5819 Highway 6 Ste 160
Missouri City, TX 77459-4069
Phone (832) 230-8027

Other identifiers 1

IdentifierTypeStateIssuer
5906396OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • PR PHARMACY LLC 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": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1467707299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5819 HIGHWAY 6 STE 160",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594069",
            "telephone_number": "832-230-8027",
            "fax_number": "832-230-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5819 HIGHWAY 6 STE 160",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594069",
            "telephone_number": "832-230-8027",
            "fax_number": "832-230-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PR PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "KALATHIL",
        "authorized_official_first_name": "MARIAMMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-605-4329"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "28039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5906396",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PR PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.