Pharm House Carrizo Springs LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

31759 Issued in TX

Legal business name

PHARM HOUSE CARRIZO SPRINGS LLC

Practice address

3531 Town Center Blvd S Ste 103
Sugar Land, TX 77479-2591

Phone

(832) 876-2516

NPI assigned

Jan 18, 2018

Organization subpart

No

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

Authorized official

Name

Sandra L Scott

Title

Compliance Officer

Phone

(832) 454-2848

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Town Center Pharmacy Doing business as

Electronic endpoints 1

Practitioners 1

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

• Shailendra Ambeykumar Gupta

  • Pharmacist
  • Rosenberg, TX
  • NPI 1942968201
  NPD

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1659889160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3531 TOWN CENTER BLVD S STE 103",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792591",
            "telephone_number": "844-843-0101",
            "fax_number": "844-843-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3531 TOWN CENTER BLVD S STE 103",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792591",
            "telephone_number": "832-876-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARM HOUSE CARRIZO SPRINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "832-454-2848"
    },
    "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": "31759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175475",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Liberty",
            "affiliation": "N",
            "endpointDescription": "Pharmacy Software",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3531 Town Center Blvd S Ste 103",
            "city": "Sugar Land",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774792591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Town Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Gia Phan, M.D.
• Jeremy Phan, OD
• Vincent C Phan
• Phanily Eyecare, PA
• Belinda Phares, FNP
• Pharm House Carrizo Springs LLC
• Pharma Source RX Inc
• Pharma Source RX Inc
• Pharmacy Courier Service,L.L.C.
• Pharmedium Services LLC

• Community/Retail Pharmacy in Sugar Land, TX
• Providers in Sugar Land, 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 Jan 27, 2023; 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.