NPIMap

Organization Active NPI

Health One Pharmacy LLC

  • Community/Retail Pharmacy
  • The Colony, TX
National Provider Identifier
1578078762
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
31742 Issued in TX
Legal business name
HEALTH ONE PHARMACY LLC
Practice address
3800 Main St Ste 102
The Colony, TX 75056-2838
Phone
(214) 469-2244
Fax
(844) 360-8114
NPI assigned
Dec 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Authorized official

Name
Dr. Thomas Vadopparambil Thomas, PHARM DNPI 1316367360
Title
Managing Member
Phone
(214) 469-2244

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 31742 TX Primary

Addresses

Primary practice location

3800 Main St Ste 102
The Colony, TX 75056-2838

Mailing address

3800 Main St Suite 102
The Colony, TX 75056
Phone (214) 469-2244

Other identifiers 2

IdentifierTypeStateIssuer
2174836OtherPK
149787MedicaidTX

Other names 1

  • Health One Pharmacy Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201105000538 TX Part B Supplier - Pharmacy 4082024922 Practice locations: The Colony, TX

National Provider Directory

National Provider Directory
Tax ID family
Health One Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

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": "1512864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1578078762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 MAIN ST SUITE 102",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "75056",
            "telephone_number": "214-469-2244",
            "fax_number": "844-360-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 MAIN ST STE 102",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750562838",
            "telephone_number": "214-469-2244",
            "fax_number": "844-360-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH ONE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-10",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "VADOPPARAMBIL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "214-469-2244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "31742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2174836",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149787",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health One Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Health One Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Health One Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in The Colony, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.