Medley Compounding Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28480 Issued in TX

Legal business name

MEDLEY COMPOUNDING PHARMACY, LLC

Practice address

5711 Bissonnet St Ste F
Bellaire, TX 77401-4724

Phone

(713) 838-1500

Fax

(713) 838-1505

NPI assigned

May 15, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Shobha Aggarwal

Title

Owner

Phone

(832) 466-5000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1487090650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 WESLAYAN ST # 187",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051048",
            "telephone_number": "832-466-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5711 BISSONNET ST STE F",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014724",
            "telephone_number": "713-838-1500",
            "fax_number": "713-838-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLEY COMPOUNDING PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "AGGARWAL",
        "authorized_official_first_name": "SHOBHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-466-5000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "28480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.