Organization Active NPI

Adrx Inc

Doing business as Mangum Pharmacy

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1619199908
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
25475 Issued in TX
Legal business name
ADRX INC
Doing business as
Mangum Pharmacy
Practice address
2025 Mangum Rd
Houston, TX 77092-8529
Phone
(713) 812-8400
Fax
(713) 812-8401
NPI assigned
May 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Lori Marisa Leal, PHARM DNPI 1194947408
Title
President
Phone
(713) 208-7252

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 25475 TX Primary

Addresses

Primary practice location

2025 Mangum Rd
Houston, TX 77092-8529

Mailing address

2025 Mangum Rd
Houston, TX 77092-8529
Phone (713) 812-8400

Other names 1

  • MANGUM PHARMACY Doing business as

National Provider Directory

National Provider Directory

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619199908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 MANGUM RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770928529",
            "telephone_number": "713-812-8400",
            "fax_number": "713-812-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 MANGUM RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770928529",
            "telephone_number": "713-812-8400",
            "fax_number": "713-812-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADRX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEAL",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "MARISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-208-7252",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "25475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MANGUM 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 22, 2020; 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.