Organization Active NPI

PPC RX Pharmacy LLC

  • Community/Retail Pharmacy
  • Kingwood, TX
National Provider Identifier
1659143683
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PPC RX PHARMACY LLC
Practice address
2300 Green Oak Dr Ste 550
Kingwood, TX 77339-2048
Phone
(832) 915-0554
Fax
(832) 430-4524
NPI assigned
Oct 24, 2023
Last updated
Nov 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Ms. Ige Johnson
Title
Owner/Officer
Phone
(281) 846-8796

Specialties & licenses 1

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

Addresses

Primary practice location

2300 Green Oak Dr Ste 550
Kingwood, TX 77339-2048

Mailing address

2300 Green Oak Dr Ste 550
Kingwood, TX 77339-2048
Phone (281) 846-8796

National Provider Directory

National Provider Directory

Locations

2300 Green Oak Dr
Ste 550
Kingwood, TX 77339
Phone (832) 915-0554

NPI Registry JSON

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1659143683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 GREEN OAK DR STE 550",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392048",
            "telephone_number": "281-846-8796",
            "fax_number": "832-430-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 GREEN OAK DR STE 550",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392048",
            "telephone_number": "832-915-0554",
            "fax_number": "832-430-4524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PPC RX PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-24",
        "last_updated": "2024-11-14",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "IGE",
        "authorized_official_title_or_position": "OWNER/OFFICER",
        "authorized_official_telephone_number": "281-846-8796",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.