MFSB, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

27008 Issued in TX

Legal business name

MFSB, INC.

Doing business as

Willow Pharmacy

Practice address

2102 N Main St
Suite B
Houston, TX 77009-8024

Phone

(713) 677-0501

Fax

(713) 677-0666

NPI assigned

Jul 9, 2010

Last updated

Apr 12, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Carolyn Joyce Patterson

Title

Owner

Phone

(936) 443-8528

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Willow Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1659683480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5922 BEECH DR",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773162735",
            "telephone_number": "936-443-8528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 N MAIN ST",
            "address_2": "SUITE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770098024",
            "telephone_number": "713-677-0501",
            "fax_number": "713-677-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MFSB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-443-8528",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5900623",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Pharmacy",
            "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 Apr 12, 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.