Blu Lane Enterprise LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BLU LANE ENTERPRISE LLC

Doing business as

Blu Lane Pharmacy

Practice address

707 S Fry Rd Ste 285
Katy, TX 77450-2258

Phone

(346) 594-1043

Fax

(346) 594-1043

NPI assigned

Nov 6, 2023

Organization subpart

No

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

Authorized official

Name

T'Andra AubreyNPI 1306619895

Title

Managing Officer

Phone

(346) 516-1798

Specialties & licenses 1

Addresses

Other names 1

• Blu Lane Pharmacy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• T'Andra Aubrey

  • Community/Retail Pharmacy
  • Katy, TX
  • NPI 1306619895
  NPD Authorized official

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1548033038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 S FRY RD STE 285",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502258",
            "telephone_number": "346-594-1043",
            "fax_number": "346-594-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S FRY RD STE 285",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502258",
            "telephone_number": "346-594-1043",
            "fax_number": "346-594-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLU LANE ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "AUBREY",
        "authorized_official_first_name": "T'ANDRA",
        "authorized_official_title_or_position": "MANAGING OFFICER",
        "authorized_official_telephone_number": "346-516-1798"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blu Lane Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blu Lane Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Katy, TX
• Providers in Katy, 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 18, 2023; 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.