Organization Active NPI

Medic One Pharmacy

  • Community/Retail Pharmacy
  • Alvin, TX
National Provider Identifier
1568762755
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
27164 Issued in TX
Legal business name
MEDIC ONE PHARMACY
Practice address
1701 Fairway Dr
Suite 3a
Alvin, TX 77511-4661
Phone
(281) 824-0222
NPI assigned
Oct 22, 2010
Last updated
May 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Authorized official

Name
Dr. Desiree Coleman
Title
Pharmacist/Owner
Phone
(281) 824-0222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 27164 TX Primary

Addresses

Primary practice location

1701 Fairway Dr
Suite 3a
Alvin, TX 77511-4661

Mailing address

1701 Fairway Dr
Suite 3a
Alvin, TX 77511-4661
Phone (281) 824-0222

National Provider Directory

National Provider Directory

Locations

1701 Fairway Dr
Ste 3A
Alvin, TX 77511
Phone (281) 824-0222

NPI Registry JSON

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1568762755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 FAIRWAY DR",
            "address_2": "SUITE 3A",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775114661",
            "telephone_number": "281-824-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 FAIRWAY DR",
            "address_2": "SUITE 3A",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775114661",
            "telephone_number": "281-824-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIC ONE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "281-824-0222",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alvin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.