Active NPI
J & C RX LLC
Doing business as DBA Good Samaritan Pharmacy
- Community/Retail Pharmacy
- Houston, TX
National Provider Identifier
1487156741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 29569
- Legal business name
- J & C RX LLC
- Doing business as
- DBA Good Samaritan Pharmacy
- Practice address
- 11301 Fallbrook #124
Houston, TX 77065 - Phone
- (832) 804-6605
- Fax
- (281) 664-0084
- NPI assigned
- Mar 2, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joe Nquyen
- Title
- Member
- Phone
- (832) 804-6605
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 29569 | TX | Primary |
Addresses
Primary practice location
11301 Fallbrook #124
Houston, TX 77065
Mailing address
11301 Fallbrook #124
Houston, TX 77065
Phone (832) 804-6605
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000 | Medicaid | TX | |
| 2175660 | Other | PK |
Other names 1
- DBA Good Samaritan Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Dba Good Samaritan Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1540166400000",
"number": "1487156741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11301 FALLBROOK #124",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77065",
"telephone_number": "832-804-6605",
"fax_number": "281-664-0084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11301 FALLBROOK #124",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77065",
"telephone_number": "832-804-6605",
"fax_number": "281-664-0084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J & C RX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-02",
"last_updated": "2018-10-22",
"status": "A",
"authorized_official_last_name": "NQUYEN",
"authorized_official_first_name": "JOE",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "832-804-6605",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "29569",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000000",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2175660",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DBA Good Samaritan Pharmacy",
"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 Oct 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.