Prucare Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28145 Issued in TX

Legal business name

PRUCARE PHARMACY INC

Doing business as

Prucare Pharmacy

Practice address

9219 Main St
Houston, TX 77025-4419

Phone

(713) 661-7300

Fax

(713) 661-7301

NPI assigned

Sep 10, 2012

Organization subpart

No

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

Authorized official

Name

Sonya Sharp

Title

Owner

Phone

(713) 661-7300

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• PRUCARE PHARMACY Doing business as

Tax ID family

Prucare 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.

• Prucare Pharmacy

  • Specialty Pharmacy
  • Houston, TX
  • NPI 1154866317
  NPD tax ID

Locations

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1518216282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9219 MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770254419",
            "telephone_number": "713-661-7300",
            "fax_number": "713-661-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9219 MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770254419",
            "telephone_number": "713-661-7300",
            "fax_number": "713-661-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUCARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-10",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "SONYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-661-7300"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "28145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5906839",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRUCARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PRUCARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandon Provost
• Elizabeth Erin Provost, MS, LPC-SUPERVISOR
• Tatiyana Provost, NP
• Proxima Diagnostics & Laboratory LLC
• Prucare Pharmacy
• Prudence Healthcare Services,LLC
• Prudent Diagnostics, Inc (Preferred Diagnostics)
• Prudent Health Management, Inc
• Zachary David Prudowsky, MD
• Pruedence Brooks, PSYD, PLLC

• 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 Dec 3, 2019; 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.