Cedra Pharmacy Houston LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

30202 Issued in TX

Legal business name

CEDRA PHARMACY HOUSTON LLC

Doing business as

cedra pharmacy

Practice address

1607 S Post Oak LN
Houston, TX 77056-2807

Phone

(713) 621-0621

Fax

(713) 621-9621

NPI assigned

Oct 28, 2015

Last updated

Oct 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mazen Karnaby

Title

Ceo

Phone

(917) 836-8886

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• cedra pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohamad Cheaito, PHARMD

  • Pharmacist
  • Bronx, NY
  • NPI 1336665157
  NPD (past)
• Sandy Lerner

  • Pharmacist
  • Bronx, NY
  • NPI 1295257947
  NPD (past)
• Angelika Maria Misterek, PHARMD

  • Pharmacist
  • Bronx, NY
  • NPI 1881245488
  NPD (past)
• Anna Shmayenik, PHARM D

  • Pharmacist
  • Bronx, NY
  • NPI 1902154370
  NPD (past)

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1467824599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 ELTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104551687",
            "telephone_number": "917-836-8886",
            "fax_number": "713-621-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 S POST OAK LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770562807",
            "telephone_number": "713-621-0621",
            "fax_number": "713-621-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDRA PHARMACY HOUSTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "KARNABY",
        "authorized_official_first_name": "MAZEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-836-8886"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "30202",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155114",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "cedra pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "cedra pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julia Antoniana Cedeno, LCSW
• Ceder Healthcare Services Inc
• Roberto Alejandro Cediel Pagan, MD
• Cindy Cedillo-Ruiz, MD
• Tatiana Cedillos
• Cedracare Home Health Inc (Cedracare Dialysis)
• Ceek Home Healthcare Agency LLC
• Ceeneya Nyeba Medical Group
• Amanda Cegielski, RN
• Cej Dental Center LLC (CEJ Dental Center LLC DBA Perla Dental)

• Community/Retail Pharmacy in Houston, TX
• Providers in Houston, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.