3D&S Supreme Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

29914 Issued in TX

Legal business name

3D&S SUPREME PHARMACY

Doing business as

3D&S Supreme Pharmacy

Practice address

203 E Davis St
Conroe, TX 77301-3159

Phone

(936) 494-3781

Fax

(936) 494-3784

NPI assigned

Jun 12, 2015

Last updated

Jul 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Esther Njibamum

Title

Pharmacist in Charge

Phone

(713) 585-1642

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• 3D&S Supreme Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1619358967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E DAVIS ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773013159",
            "telephone_number": "936-494-3781",
            "fax_number": "936-494-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E DAVIS ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773013159",
            "telephone_number": "936-494-3781",
            "fax_number": "936-494-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3D&S SUPREME PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-12",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "NJIBAMUM",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "713-585-1642"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "29914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152267",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "3D&S Supreme Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Conroe, TX
• Providers in Conroe, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.