Fatta Drive Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

FATTA DRIVE PHARMACY LLC

Practice address

2800 W Main St
Suite H
League City, TX 77573

Phone

(346) 291-2922

Fax

(346) 291-2922

NPI assigned

Aug 15, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Oseoboh Inegbenose Odubele

Title

Officer

Phone

(346) 291-2922

Specialties & licenses 1

Addresses

Tax ID family

Fatta Drive 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.

• Fatta Drive Pharmacy LLC

  • Long Term Care Pharmacy
  • League City, TX
  • NPI 1538952809
  NPD tax ID

Practitioners 1

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

• Maaly Elgohary

  • Pharmacist
  • League City, TX
  • NPI 1437946829
  NPD

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1578281606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 W MAIN ST, SUITE H",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "77573",
            "telephone_number": "346-291-2922",
            "fax_number": "346-291-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W MAIN ST",
            "address_2": "SUITE H",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "77573",
            "telephone_number": "346-291-2922",
            "fax_number": "346-291-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATTA DRIVE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2024-02-20",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "ODUBELE",
        "authorized_official_first_name": "OSEOBOH",
        "authorized_official_middle_name": "INEGBENOSE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "346-291-2922",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family First Transport LLC
• Family Tree Health Clinic P a
• Renah Farhan, MD
• Donna Fasullo, LCSW
• Fatta Drive Pharmacy LLC
• Melanie Featherly, LCDC
• Felicia Pranata, PLLC
• Felicity Palliative & Hospice Care LLC.
• Antonio Felix, MASSAGE THERAPIST
• Dacia Anna Fernandez, APRN

• All providers in League City, TX
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.

Verify at the official NPI Registry.