Organization Active NPI

Succession Equity Group

Doing business as Ed's Pharmacy

  • Pharmacy
  • Missouri City, TX
National Provider Identifier
1639190697
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
SUCCESSION EQUITY GROUP
Doing business as
Ed's Pharmacy
Practice address
3740 Cartwright Rd
Missouri City, TX 77459
Phone
(281) 499-4555
Fax
(281) 499-7088
NPI assigned
Jul 22, 2006
Last updated
Oct 14, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
SUCCESSION EQUITY GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Authorized official

Name
Mr. Hanna Hovhannes Elchemmas, PHARMDNPI 1184059909
Title
Owner
Phone
(281) 499-4555

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary
Community/Retail Pharmacy 3336C0003X NU
Long Term Care Pharmacy 3336L0003X NU

Addresses

Primary practice location

3740 Cartwright Rd
Missouri City, TX 77459

Mailing address

3740 Cartwright Rd
Missouri City, TX 77459
Phone (281) 499-4555

Other identifiers 1

IdentifierTypeStateIssuer
4575493OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Ed's Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211130001726 TX Part B Supplier - Pharmacy 4688064967 Practice locations: Missouri City, TX

National Provider Directory

National Provider Directory
Part of
Succession Equity Group LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1639190697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 CARTWRIGHT RD",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "77459",
            "telephone_number": "281-499-4555",
            "fax_number": "281-499-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 CARTWRIGHT RD",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "77459",
            "telephone_number": "281-499-4555",
            "fax_number": "281-499-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESSION EQUITY GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUCCESSION EQUITY GROUP",
        "enumeration_date": "2006-07-22",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "ELCHEMMAS",
        "authorized_official_first_name": "HANNA",
        "authorized_official_middle_name": "HOVHANNES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-499-4555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4575493",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ed's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.