Organization Active NPI

Lifeline Pharmacy Incorporated

  • Pharmacist
  • Houston, TX
National Provider Identifier
1467774430
Registry record updated May 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
43945 Issued in TX
Legal business name
LIFELINE PHARMACY INCORPORATED
Practice address
5705 Fondren Rd
101
Houston, TX 77036-1842
Phone
(713) 334-8200
Fax
(713) 334-8201
NPI assigned
Feb 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2010

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

Authorized official

Name
Hetty Umeh
Title
Pharm.D, R.PH/Director
Phone
(713) 478-9804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 43945 TX Primary

Addresses

Primary practice location

5705 Fondren Rd
101
Houston, TX 77036-1842

Mailing address

5705 Fondren Rd
101
Houston, TX 77036-1842
Phone (713) 334-8200

Other names 1

  • Medsure Rx Doing business as

National Provider Directory

National Provider Directory

Locations

5705 Fondren Rd
Ste 101
Houston, TX 77036
Phone (713) 334-8200

NPI Registry JSON

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1467774430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5705 FONDREN RD",
            "address_2": "101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770361842",
            "telephone_number": "713-334-8200",
            "fax_number": "713-334-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5705 FONDREN RD",
            "address_2": "101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770361842",
            "telephone_number": "713-334-8200",
            "fax_number": "713-334-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE PHARMACY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "UMEH",
        "authorized_official_first_name": "HETTY",
        "authorized_official_title_or_position": "PHARM.D, R.PH/DIRECTOR",
        "authorized_official_telephone_number": "713-478-9804"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "43945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medsure Rx",
            "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 May 6, 2010; 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.