Healthy Strides RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

31349 Issued in TX

Legal business name

HEALTHY STRIDES RX LLC

Practice address

4401 Emancipation Ave
Houston, TX 77004-5221

Phone

(281) 888-2235

Fax

(281) 888-2277

NPI assigned

Mar 30, 2017

Organization subpart

No

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

Authorized official

Name

Jaimee CashawNPI 1194554972

Title

Owner

Phone

(832) 721-4070

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Healthy Strides RX Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Healthy Strides RX2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Healthy Strides RX LLC

  • Long Term Care Pharmacy
  • Houston, TX
  • NPI 1942172051
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaimee Cashaw

  • Pharmacist
  • Houston, TX
  • NPI 1194554972
  NPD Authorized official

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1639601537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 EMANCIPATION AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770045221",
            "telephone_number": "281-888-2235",
            "fax_number": "281-888-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 EMANCIPATION AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770045221",
            "telephone_number": "281-888-2235",
            "fax_number": "281-888-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY STRIDES RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-30",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "CASHAW",
        "authorized_official_first_name": "JAIMEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-721-4070"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "31349",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168857",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Strides RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Houston, TX
• Providers in Houston, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.