LGN Eldridg Center LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LGN ELDRIDG CENTER LLC

Doing business as

Love Pharmacy

Practice address

12047 Beamer Road
Houston, TX 77089

Phone

(281) 617-7678

Fax

(281) 617-7641

NPI assigned

Dec 9, 2022

Organization subpart

No

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

Authorized official

Name

Steve T Phan

Title

Sole Owner

Phone

(281) 617-7678

Specialties & licenses 1

Addresses

Other names 1

• Love Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1477264547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12047 BEAMER ROAD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77089",
            "telephone_number": "281-617-7678",
            "fax_number": "281-617-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12047 BEAMER ROAD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77089",
            "telephone_number": "281-617-7678",
            "fax_number": "281-617-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LGN ELDRIDG CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-09",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "281-617-7678"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Love Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Love Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Mar 2, 2023; 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.