Organization Active NPI

Prime Health Express Pharmaceutical Services LLC

Doing business as Prime Express Pharmacy

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1508537044
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PRIME HEALTH EXPRESS PHARMACEUTICAL SERVICES LLC
Doing business as
Prime Express Pharmacy
Practice address
1701 FM 1960 Rd W Ste L
Houston, TX 77090-3213
Phone
(214) 562-2696
Fax
(214) 562-2696
NPI assigned
Sep 24, 2021
Last updated
Sep 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Authorized official

Name
Dr. Akosua Adu Addai, PHARMDNPI 1104417583
Title
Managing Officer
Phone
(214) 562-2696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1701 FM 1960 Rd W Ste L
Houston, TX 77090-3213

Mailing address

1701 FM 1960 Rd W Ste L
Houston, TX 77090-3213
Phone (214) 562-2696

Other names 1

  • Prime Express Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220225000530 TX Part B Supplier - Pharmacy 3779977327 Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

1701 FM 1960 Rd W
Ste L
Houston, TX 77090
Phone (214) 562-2696

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1508537044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 FM 1960 RD W STE L",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903213",
            "telephone_number": "214-562-2696",
            "fax_number": "214-562-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 FM 1960 RD W STE L",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903213",
            "telephone_number": "214-562-2696",
            "fax_number": "214-562-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTH EXPRESS PHARMACEUTICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "ADU ADDAI",
        "authorized_official_first_name": "AKOSUA",
        "authorized_official_title_or_position": "MANAGING OFFICER",
        "authorized_official_telephone_number": "214-562-2696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Express 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 Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.