Organization Active NPI

Bel Nome Pharmacy LLC

  • Community/Retail Pharmacy
  • Bryan, TX
National Provider Identifier
1659963759
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BEL NOME PHARMACY LLC
Doing business as
Bel Nome Pharmacy
Practice address
818 E Villa Maria Rd
Bryan, TX 77802-5337
Phone
(979) 289-2211
NPI assigned
Feb 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Authorized official

Name
Mr. Michael David Houston
Title
Manager/Owner
Phone
(979) 289-2211

Specialties & licenses 1

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

Addresses

Primary practice location

818 E Villa Maria Rd
Bryan, TX 77802-5337

Mailing address

818 E Villa Maria Rd
Bryan, TX 77802-5337
Phone (979) 289-2211

Other names 1

  • Bel Nome Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

818 E Villa Maria Rd
Bryan, TX 77802
Phone (832) 996-1224

NPI Registry JSON

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1659963759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 E VILLA MARIA RD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025337",
            "telephone_number": "979-289-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 E VILLA MARIA RD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025337",
            "telephone_number": "979-289-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEL NOME PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "979-289-2211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bel Nome Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.