Organization Active NPI

Rezik a Saqer, MD, PA

Doing business as Integra Pharmacy

  • Community/Retail Pharmacy
  • Conroe, TX
National Provider Identifier
1588764880
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
29436 Issued in TX
Legal business name
REZIK A SAQER, MD, PA
Doing business as
Integra Pharmacy
Practice address
3074 College Park Dr Ste B
Conroe, TX 77384-8002
Phone
(936) 321-5600
Fax
(936) 271-3360
NPI assigned
Sep 25, 2006
Last updated
Apr 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Authorized official

Name
Bisrat Tekle
Title
Pharmacist in Charge
Phone
(936) 321-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 29436 TX Primary

Addresses

Primary practice location

3074 College Park Dr Ste B
Conroe, TX 77384-8002

Mailing address

3074 College Park Dr Ste B
Conroe, TX 77384-8002
Phone (936) 321-5600

Other identifiers 2

IdentifierTypeStateIssuer
466213MedicaidTX
2137007OtherPK

Other names 1

  • INTEGRA PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Integra Medical Clinics2 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.

Locations

3074 College Park Dr
#B
Conroe, TX 77384
Phone (936) 321-5600

11037 FM 1960 Rd W
Ste B1
Houston, TX 77065
Phone (832) 237-9400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1588764880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3074 COLLEGE PARK DR STE B",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773848002",
            "telephone_number": "936-321-5600",
            "fax_number": "936-271-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3074 COLLEGE PARK DR STE B",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773848002",
            "telephone_number": "936-321-5600",
            "fax_number": "936-271-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZIK A SAQER, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "TEKLE",
        "authorized_official_first_name": "BISRAT",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "936-321-5600"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "466213",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137007",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTEGRA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.