Organization Active NPI

Manor Pharmacy

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1598043937
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
27419 Issued in TX
Legal business name
MANOR PHARMACY
Practice address
2056 Antoine Dr
#120
Houston, TX 77055-1833
Phone
(713) 476-9606
NPI assigned
Aug 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Authorized official

Name
Lisa Davis
Title
Manager
Phone
(713) 476-9606

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 27419 TX Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

2056 Antoine Dr
#120
Houston, TX 77055-1833

Mailing address

2056 Antoine Dr
#120
Houston, TX 77055-1833
Phone (713) 476-9606

Other identifiers 1

IdentifierTypeStateIssuer
5903679OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • MANOR PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1598043937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2056 ANTOINE DR",
            "address_2": "#120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770551833",
            "telephone_number": "713-476-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2056 ANTOINE DR",
            "address_2": "#120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770551833",
            "telephone_number": "713-476-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-03",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-476-9606"
    },
    "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": "27419",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5903679",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MANOR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.