Organization Active NPI

Lava Services Inc

Doing business as Strawberry Family Drug & Pharmacy

  • Community/Retail Pharmacy
  • Pasadena, TX
National Provider Identifier
1558465518
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
21544 Issued in TX
Legal business name
LAVA SERVICES INC
Doing business as
Strawberry Family Drug & Pharmacy
Practice address
1802 Strawberry Rd
Pasadena, TX 77502-2621
Phone
(713) 740-9033
Fax
(713) 740-9044
NPI assigned
Sep 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Authorized official

Name
Kelley LavallaisNPI 1063085017
Title
Owner
Phone
(713) 740-9033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 21544 TX Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

1802 Strawberry Rd
Pasadena, TX 77502-2621

Mailing address

1802 Strawberry Rd
Pasadena, TX 77502-2621
Phone (713) 740-9033

Other identifiers 2

IdentifierTypeStateIssuer
145174MedicaidTX
2090523OtherPK

Other names 1

  • STRAWBERRY FAMILY DRUG & PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041020000651 TX Part B Supplier - Mass Immunization (Roster Biller Only) 2860453149 Practice locations: Pasadena, TX

National Provider Directory

National Provider Directory

Locations

1102 Pinemont Dr
Houston, TX 77018
Phone (713) 688-3515

1802 Strawberry Rd
Ste C
Pasadena, TX 77502
Phone (713) 740-9033

1802 Strawberry Rd
Pasadena, TX 77502
Phone (713) 475-1333

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1558465518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 STRAWBERRY RD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775022621",
            "telephone_number": "713-740-9033",
            "fax_number": "713-740-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 STRAWBERRY RD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775022621",
            "telephone_number": "713-740-9033",
            "fax_number": "713-740-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVA SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "LAVALLAIS",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-740-9033"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "21544",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145174",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2090523",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STRAWBERRY FAMILY DRUG & PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "STRAWBERRY FAMILY DRUG & PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.