Pep Nic & Mic LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

24365 Issued in TX

Legal business name

PEP NIC & MIC LLC

Practice address

8449 W Bellfort St
Ste 130
Houston, TX 77071-2245

Phone

(713) 771-1767

Fax

(713) 771-1768

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Philip Parker

Title

Manager

Phone

(713) 771-1767

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Eastside Pharmacy Doing business as

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1669414231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8204 ELMBROOK DR",
            "address_2": "SUITE 176",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474067",
            "telephone_number": "713-771-1767",
            "fax_number": "713-771-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8449 W BELLFORT ST",
            "address_2": "STE 130",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770712245",
            "telephone_number": "713-771-1767",
            "fax_number": "713-771-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEP NIC & MIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-771-1767"
    },
    "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": "24365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145703",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4539500",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastside Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kruger WM Peoples, DDS
• Marlon Antwon Peoples, PT,DPT
• Melinda Peoples
• Nicholas Peoples
• Spencer Douglas Peoples, DMD
• Pep Wellness Center PLLC
• Bridget Ann Pepe, PA-C
• Nicole Salcedo Pepito, FNP
• Kaes Edward Pepke
• Spyridon Peppas, M.D.

• 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 Aug 27, 2009; 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.