NPIMap

Organization Active NPI

Texas Children'S Hospital

  • Community/Retail Pharmacy
  • Missouri City, TX
National Provider Identifier
1508615048
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
TEXAS CHILDREN'S HOSPITAL
Practice address
12613 Citypark Dr
Ste 200, RM 145.06
Missouri City, TX 77489-1244
Phone
(832) 824-1000
Fax
(832) 825-9418
NPI assigned
May 16, 2024
Organization subpart
Yes
Parent organization
TEXAS CHILDREN'S HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Authorized official

Name
Weldon Gage
Title
Cfo
Phone
(832) 828-3660

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary
Home Infusion Therapy Pharmacy 3336H0001X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

12613 Citypark Dr
Ste 200, RM 145.06
Missouri City, TX 77489-1244

Mailing address

12613 Citypark Dr
Ste 200, RM 145.06
Missouri City, TX 77489-1244
Phone (346) 232-4960

Other practice location 1

9700 Bissonnet St. Ste 1000W
Houston, TX 77036-8001
Phone (346) 232-4960

Other identifiers 1

IdentifierTypeStateIssuer
35785OtherTXTEXAS BOARD OF PHARMACY

Other names 1

  • Texas Children's Infusion Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250225003084 TX DME Supplier - Pharmacy 7618873266 Practice locations: Missouri City, TX

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Exempt-110 organizations share this tax ID, including this one
Part of
Exempt-1

Other organizations with this tax ID 9

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1102 Bates Ave
Ste FC1450
Houston, TX 77030

12613 Citypark Dr
#200
Missouri City, TX 77489
Phone (346) 232-4960

NPI Registry JSON

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1508615048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12613 CITYPARK DR",
            "address_2": "STE 200, RM 145.06",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774891244",
            "telephone_number": "346-232-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12613 CITYPARK DR",
            "address_2": "STE 200, RM 145.06",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774891244",
            "telephone_number": "832-824-1000",
            "fax_number": "832-825-9418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9700 Bissonnet St. Ste 1000W",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770368001",
            "country_code": "US",
            "telephone_number": "346-232-4960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEXAS CHILDREN'S HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEXAS CHILDREN'S HOSPITAL",
        "enumeration_date": "2024-05-16",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "GAGE",
        "authorized_official_first_name": "WELDON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "832-828-3660"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF PHARMACY",
            "identifier": "35785",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Children's Infusion Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.