Active NPI
Alex Fan
- Pharmacist
- Sugar Land, TX
National Provider Identifier
1568087120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 73192
- Practice address
- 16655 Southwest Fwy
Sugar Land, TX 77479-2329 - Phone
- (281) 274-7000
- NPI assigned
- Jun 10, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 73192 | TX | Primary |
Addresses
Primary practice location
16655 Southwest Fwy
Sugar Land, TX 77479-2329
Mailing address
203 S 9TH St
Nederland, TX 77627-2534
Other practice location 1
6565 Fannin St
Houston, TX 77030-2703
Phone (731) 790-3311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73192 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1568087120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 S 9TH ST",
"city": "NEDERLAND",
"state": "TX",
"postal_code": "776272534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16655 SOUTHWEST FWY",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774792329",
"telephone_number": "281-274-7000"
}
],
"practiceLocations": [
{
"address_1": "6565 Fannin St",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770302703",
"country_code": "US",
"telephone_number": "731-790-3311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAN",
"first_name": "ALEX",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-10",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "73192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.