Organization Active NPI

Genovations Pharmacy LLC

  • Managed Care Organization Pharmacy
  • Houston, TX
National Provider Identifier
1477954162
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Managed Care Organization PharmacyTaxonomy code 3336M0003X
License
29959 Issued in TX
Legal business name
GENOVATIONS PHARMACY LLC
Doing business as
Genovations Pharmacy LLC
Practice address
10301 Stella Link Rd Ste C
Houston, TX 77025-5447
Phone
(832) 941-0850
Fax
(832) 941-0849
NPI assigned
Sep 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Authorized official

Name
Claudia Kim
Title
Pharmacy Operations Manager
Phone
(832) 701-0422

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Managed Care Organization Pharmacy 3336M0003X 29959 TX Primary

Addresses

Primary practice location

10301 Stella Link Rd Ste C
Houston, TX 77025-5447

Mailing address

10301 Stella Link Rd Ste C
Houston, TX 77025-5447
Phone (832) 941-0850

Other identifiers 1

IdentifierTypeStateIssuer
2151753OtherPK

Other names 1

  • Genovations 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": "1410480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1477954162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 STELLA LINK RD STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770255447",
            "telephone_number": "832-941-0850",
            "fax_number": "832-941-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 STELLA LINK RD STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770255447",
            "telephone_number": "832-941-0850",
            "fax_number": "832-941-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENOVATIONS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-12",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "PHARMACY OPERATIONS MANAGER",
        "authorized_official_telephone_number": "832-701-0422"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": "TX",
            "license": "29959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151753",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genovations Pharmacy LLC",
            "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 5, 2015; 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.