Organization Active NPI

Lightcare RX LLC

Doing business as Lightcare RX

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1538727847
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LIGHTCARE RX LLC
Doing business as
Lightcare RX
Practice address
8313 Southwest Fwy Ste 107
Houston, TX 77074-1612
Phone
(832) 987-1795
Fax
(832) 599-7850
NPI assigned
Jun 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Authorized official

Name
Nizar Dewood
Title
Owner
Phone
(713) 502-8009

Specialties & licenses 1

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

Addresses

Primary practice location

8313 Southwest Fwy Ste 107
Houston, TX 77074-1612

Mailing address

8313 Southwest Fwy Ste 107
Houston, TX 77074-1612
Phone (832) 987-1795

Other practice location 1

1705 Texas Pkwy # C
Missouri City, TX 77489-2171
Phone (832) 987-1795

Other identifiers 1

IdentifierTypeStateIssuer
150113MedicaidTX

Other names 1

  • LIGHTCARE RX Doing business as

National Provider Directory

National Provider Directory

Locations

8313 Southwest Fwy
Ste 107
Houston, TX 77074
Phone (713) 773-1844

1705 Texas Pkwy
#C
Missouri City, TX 77489
Phone (832) 987-1795

NPI Registry JSON

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

{
    "created_epoch": "1559347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1538727847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8313 SOUTHWEST FWY STE 107",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741612",
            "telephone_number": "832-987-1795",
            "fax_number": "832-599-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8313 SOUTHWEST FWY STE 107",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741612",
            "telephone_number": "832-987-1795",
            "fax_number": "832-599-7850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1705 Texas Pkwy # C",
            "address_purpose": "LOCATION",
            "city": "Missouri City",
            "state": "TX",
            "postal_code": "774892171",
            "country_code": "US",
            "telephone_number": "832-987-1795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIGHTCARE RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-01",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "DEWOOD",
        "authorized_official_first_name": "NIZAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-502-8009"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150113",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIGHTCARE RX",
            "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 May 26, 2021; 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.