Grand Pkwy Phcy and Med Supl LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

24979 Issued in TX

Legal business name

GRAND PKWY PHCY AND MED SUPL LLC

Practice address

11965 Bissonnet St
Houston, TX 77099-1464

Phone

(281) 495-5777

Fax

(281) 495-5779

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Uchy Egbucheenam

Title

Partner

Phone

(713) 724-2622

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• GRAND PARKWAY PHARMACY AND MEDICAL SUPPLY Doing business as

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1487675450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11965 BISSONNET ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770991464",
            "telephone_number": "281-495-5777",
            "fax_number": "281-495-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11965 BISSONNET ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770991464",
            "telephone_number": "281-495-5777",
            "fax_number": "281-495-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND PKWY PHCY AND MED SUPL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "EGBUCHEENAM",
        "authorized_official_first_name": "UCHY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "713-724-2622"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "24979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2098947",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145638",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRAND PARKWAY PHARMACY AND MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Curtis Granberry, D.D.S.
• William Malcolm Granberry, M.D.
• Grand Care Medical Supply Inc
• Grand Care Solutions LLC
• Grand Parkway Anesthesia Associates LLC
• Alexandra Grand, MD
• David Granda Carpio, FNP-C, ENP, RN
• Granda Medical Center
• Enrique B Granda Jr., M.D.,P.A.
• Heather Delayne Grandal, FNP-BC

• 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 Sep 19, 2025; 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.