Organization Active NPI

Custom Apothecary Solutions

Doing business as Cas

  • Compounding Pharmacy
  • Pearland, TX
National Provider Identifier
1508298175
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
CUSTOM APOTHECARY SOLUTIONS
Doing business as
Cas
Practice address
2817 Red Oak LN
Pearland, TX 77584-1073
Phone
(713) 416-6325
NPI assigned
Aug 6, 2013
Last updated
Aug 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Authorized official

Name
Vonda Rosetta Wall
Title
Administrator
Phone
(719) 416-6925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X NU Primary

Addresses

Primary practice location

2817 Red Oak LN
Pearland, TX 77584-1073

Mailing address

2817 Red Oak LN
Pearland, TX 77584-1073
Phone (713) 416-6325

Other names 1

  • CAS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375747200000",
    "number": "1508298175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 RED OAK LN",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775841073",
            "telephone_number": "713-416-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 RED OAK LN",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775841073",
            "telephone_number": "713-416-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM APOTHECARY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-06",
        "last_updated": "2013-08-06",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "VONDA",
        "authorized_official_middle_name": "ROSETTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "719-416-6925"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pearland, TX

Sources for this page

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