Organization Active NPI

Gemom LLC

  • Clinic/Center
  • Houston, TX
National Provider Identifier
1649561432
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GEMOM LLC
Doing business as
Botica Familiar Pharmacy
Practice address
12333 South Main Street
Houston, TX 77035
Phone
(713) 918-6402
Fax
(713) 918-6408
NPI assigned
Apr 27, 2011
Organization subpart
Yes
Parent organization
GEMOM LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Authorized official

Name
Azenath Mogotu Gichana
Title
Pharmacist in-Charge
Phone
(713) 918-6402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X TX Primary

Addresses

Primary practice location

12333 South Main Street
Houston, TX 77035

Mailing address

12333 South Main Street
Houston, TX 77035
Phone (713) 918-6402

Other names 1

  • Botica Familiar Pharmacy Doing business as

National Provider Directory

National Provider Directory
Part of
Gemom 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.

NPI Registry JSON

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1649561432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12333 SOUTH MAIN STREET",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77035",
            "telephone_number": "713-918-6402",
            "fax_number": "713-918-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12333 SOUTH MAIN STREET",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77035",
            "telephone_number": "713-918-6402",
            "fax_number": "713-918-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEMOM LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GEMOM LLC",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "GICHANA",
        "authorized_official_first_name": "AZENATH",
        "authorized_official_middle_name": "MOGOTU",
        "authorized_official_title_or_position": "PHARMACIST IN-CHARGE",
        "authorized_official_telephone_number": "713-918-6402"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Botica Familiar 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 Apr 27, 2011; 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.