Specialty Pharmaceutical Solutions, LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

27893 Issued in TX

Legal business name

SPECIALTY PHARMACEUTICAL SOLUTIONS, LLC

Doing business as

Gulf Coast Pharmacy

Practice address

6550 Mapleridge St
Suite 222
Houston, TX 77081-4600

Phone

(855) 567-3432

Fax

(888) 208-1097

NPI assigned

Apr 23, 2012

Organization subpart

No

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

Authorized official

Name

Clint Fowler

Title

Managing Member

Phone

(281) 851-7506

Specialties & licenses 1

Addresses

Other names 1

• Gulf Coast Pharmacy Doing business as

Tax ID family

Gulf Coast Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Specialty Pharmaceutical Solutions

  • Community/Retail Pharmacy
  • San Antonio, TX
  • NPI 1215352463
  NPD tax ID

Locations

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1508123969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 ELM HILL PIKE",
            "address_2": "SUITE 108",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372103726",
            "telephone_number": "855-567-3432",
            "fax_number": "888-208-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 MAPLERIDGE ST",
            "address_2": "SUITE 222",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770814600",
            "telephone_number": "855-567-3432",
            "fax_number": "888-208-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY PHARMACEUTICAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "CLINT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "281-851-7506"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "TX",
            "license": "27893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialty Pharmacy in Houston, TX
• Providers in Houston, TX by specialty
• Specialty Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.