Organization Active NPI

Wesley Pharmacy

  • Community/Retail Pharmacy
  • Bellaire, TX
National Provider Identifier
1508121179
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28111 Issued in TX
Legal business name
WESLEY PHARMACY
Doing business as
Wesley Pharmacy
Practice address
5711 Bissonnet St Ste F
Bellaire, TX 77401-4724
Phone
(713) 838-1500
Fax
(713) 838-1505
NPI assigned
Jul 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Authorized official

Name
Celestine Ekechukeu
Title
Manager
Phone
(281) 580-1408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28111 TX Primary

Addresses

Primary practice location

5711 Bissonnet St Ste F
Bellaire, TX 77401-4724

Mailing address

5711 Bissonnet St
Suite#F
Bellaire, TX 77401-4725
Phone (713) 838-1500

Other identifiers 1

IdentifierTypeStateIssuer
5906423OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • WESLEY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

5711 Bissonnet St
Bellaire, TX 77401

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1508121179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 BISSONNET ST",
            "address_2": "SUITE#F",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014725",
            "telephone_number": "713-838-1500",
            "fax_number": "713-838-1505"
        },
        {
            "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": "WESLEY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "EKECHUKEU",
        "authorized_official_first_name": "CELESTINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-580-1408"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "28111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5906423",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESLEY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.