Organization Active NPI

Cullen Care Pharmacy Inc

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1619013232
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
25404 Issued in TX
Legal business name
CULLEN CARE PHARMACY INC
Practice address
5751 Blythewood St
Houston, TX 77021-5402
Phone
(713) 747-2100
Fax
(713) 747-2105
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Authorized official

Name
James Dykes
Title
Owner/Ceo
Phone
(713) 747-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 25404 TX Primary

Addresses

Primary practice location

5751 Blythewood St
Houston, TX 77021-5402

Mailing address

5751 Blythewood St
Suite 300
Houston, TX 77021-5402
Phone (713) 747-2100

Other identifiers 2

IdentifierTypeStateIssuer
145769MedicaidTX
2099936OtherPK

Other names 1

  • CULLEN CARE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cullen Care Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5751 Blythewood St
Houston, TX 77021
Phone (346) 231-1304

5751 Blythewood St
Ste 300
Houston, TX 77021

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1619013232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 BLYTHEWOOD ST",
            "address_2": "SUITE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770215402",
            "telephone_number": "713-747-2100",
            "fax_number": "713-747-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5751 BLYTHEWOOD ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770215402",
            "telephone_number": "713-747-2100",
            "fax_number": "713-747-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULLEN CARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "DYKES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "713-747-2100"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "25404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145769",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2099936",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CULLEN CARE 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 Jul 22, 2013; 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.