Intracare Community Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

25424 Issued in TX

Legal business name

INTRACARE COMMUNITY PHARMACY LLC

Practice address

1120 Cypress Station Dr
Ste 110
Houston, TX 77090-3002

Phone

(713) 790-7821

Fax

(713) 790-1620

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Terry Scovill, PHARM D

Title

Ceo

Phone

(713) 790-0949

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• INTRACARE COMMUNITY PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1508908112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 CYPRESS STATION DR",
            "address_2": "STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903002",
            "telephone_number": "713-790-7821",
            "fax_number": "713-790-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 CYPRESS STATION DR",
            "address_2": "STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903002",
            "telephone_number": "713-790-7821",
            "fax_number": "713-790-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTRACARE COMMUNITY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "SCOVILL",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-790-0949",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "25424",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2099954",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "350203",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTRACARE COMMUNITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Houston, TX
• Providers in Houston, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.