Active NPI
Lightcare RX LLC
Doing business as Lightcare RX
- Community/Retail Pharmacy
- Houston, TX
National Provider Identifier
1538727847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150113 | Medicaid | TX |
Other names 1
- LIGHTCARE RX
National Provider Directory
National Provider DirectoryLocations
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.