Tekisha Dunmore

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

27912 Issued in TX

Legal business name

TEKISHA DUNMORE

Practice address

15028 Highway 6
Rosharon, TX 77583-3261

Phone

(281) 710-4451

Fax

(281) 710-4452

NPI assigned

Apr 17, 2012

Organization subpart

No

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

Authorized official

Name

Tekisha Rose

Title

Owner

Phone

(281) 710-4451

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Savannah Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1334620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1609133529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15028 HIGHWAY 6",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775833261",
            "telephone_number": "281-710-4451",
            "fax_number": "281-710-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15028 HIGHWAY 6",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775833261",
            "telephone_number": "281-710-4451",
            "fax_number": "281-710-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEKISHA DUNMORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-17",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "TEKISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-710-4451"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5905697",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Savannah Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Rosharon, TX
• Providers in Rosharon, 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 May 14, 2012; 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.