Noviembre LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

NOVIEMBRE LLC

Doing business as

Texienne Pharmacy #3

Practice address

200 E. Boothe Street
Suite 103
Cleveland, TX 77327

Phone

(281) 806-7680

Fax

(281) 806-7681

NPI assigned

Dec 16, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Sandra Tate Stokes

Title

Owner

Phone

(832) 563-4777

Specialties & licenses 1

Addresses

Other names 1

• Texienne Pharmacy #3 Doing business as

Locations

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1598236861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 SCENIC SHORE DR.",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "77345",
            "telephone_number": "832-563-4777",
            "fax_number": "281-361-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E. BOOTHE STREET",
            "address_2": "SUITE 103",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "77327",
            "telephone_number": "281-806-7680",
            "fax_number": "281-806-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVIEMBRE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "TATE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-563-4777",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texienne Pharmacy #3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Cleveland, TX
• Providers in Cleveland, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.