Organization Active NPI

Cullen Care Pharmacy Inc

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1639598261
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
29180 Issued in TX
Legal business name
CULLEN CARE PHARMACY INC
Practice address
4901 Yale St
Houston, TX 77018-2203
Phone
(713) 691-5100
Fax
(713) 691-7717
NPI assigned
Apr 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Authorized official

Name
Truman Warren
Title
Pharmacist-in- Charge
Phone
(713) 817-2950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 29180 TX Primary

Addresses

Primary practice location

4901 Yale St
Houston, TX 77018-2203

Mailing address

5751 Blythewood St Ste 300
Houston, TX 77021-5404
Phone (713) 747-2100

Other identifiers 2

IdentifierTypeStateIssuer
2145236OtherPK
146940MedicaidTX

Other names 1

  • J Dykes 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

4901 Yale St
Houston, TX 77018
Phone (713) 691-5100

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1639598261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 BLYTHEWOOD ST STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770215404",
            "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": "4901 YALE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770182203",
            "telephone_number": "713-691-5100",
            "fax_number": "713-691-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULLEN CARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "TRUMAN",
        "authorized_official_title_or_position": "PHARMACIST-IN- CHARGE",
        "authorized_official_telephone_number": "713-817-2950"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145236",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146940",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J Dykes 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 Jun 28, 2016; 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.