Organization Active NPI

CK's Pharmacy

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1659674265
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
27114 Issued in TX
Legal business name
CK'S PHARMACY
Doing business as
CK'S Pharmacy
Practice address
5405 T C Jester Blvd Ste H
Houston, TX 77091-5239
Phone
(713) 686-4155
Fax
(713) 686-4158
NPI assigned
Dec 21, 2010
Last updated
Dec 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Authorized official

Name
Cleoophus Kennedy
Title
Owner
Phone
(713) 686-4155

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 27114 TX Primary

Addresses

Primary practice location

5405 T C Jester Blvd Ste H
Houston, TX 77091-5239

Mailing address

5405 T. C. Jester Blvd Suite H
Houston, TX 77091
Phone (713) 686-4155

Other identifiers 1

IdentifierTypeStateIssuer
5902108OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • CK'S Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

5405 T C Jester Blvd
Ste H
Houston, TX 77091
Phone (713) 686-4155

NPI Registry JSON

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1659674265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 T. C. JESTER BLVD SUITE H",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77091",
            "telephone_number": "713-686-4155",
            "fax_number": "713-686-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 T C JESTER BLVD STE H",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770915239",
            "telephone_number": "713-686-4155",
            "fax_number": "713-686-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CK'S PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "CLEOOPHUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-686-4155"
    },
    "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": "27114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5902108",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CK'S 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 Dec 21, 2010; 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.