East Texas Clinical Services, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

31456 Issued in TX

Legal business name

EAST TEXAS CLINICAL SERVICES, INC

Doing business as

CHI St. Luke's Health Neighborhood Pharmacy #1

Practice address

22710 Professional Drive
Suite 103
Kingwood, TX 77339

Phone

(281) 312-8590

Fax

(281) 312-8594

NPI assigned

Sep 6, 2006

Organization subpart

Yes

Parent organization

EAST TEXAS CLINICAL SERVICES, INCAs reported in NPPES

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

Authorized official

Name

Leena Safi

Title

Pic, RPH.

Phone

(281) 312-8590

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• CHI St. Luke's Health Neighborhood Pharmacy #1 Doing business as

Tax ID family

E TX Clinical SVCS Inc2 organizations share this tax ID, including this one

Part of

E TX Clinical SVCS Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• East Texas Clinical Services

  dba CHI St Lukes Health Neighborhood Pharmacy 2

  • Community/Retail Pharmacy
  • Conroe, TX
  • NPI 1386873792
  NPD tax ID

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545264000000",
    "number": "1669575700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22710 PROFESSIONAL DRIVE",
            "address_2": "SUITE 103",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "77339",
            "telephone_number": "281-312-8590",
            "fax_number": "281-312-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22710 PROFESSIONAL DRIVE",
            "address_2": "SUITE 103",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "77339",
            "telephone_number": "281-312-8590",
            "fax_number": "281-312-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS CLINICAL SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST TEXAS CLINICAL SERVICES, INC",
        "enumeration_date": "2006-09-06",
        "last_updated": "2018-12-20",
        "status": "A",
        "authorized_official_last_name": "SAFI",
        "authorized_official_first_name": "LEENA",
        "authorized_official_title_or_position": "PIC, RPH.",
        "authorized_official_telephone_number": "281-312-8590"
    },
    "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": "31456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2174277",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHI St. Luke's Health Neighborhood Pharmacy #1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dworsher Dialysis LLC (Green Oak Dialysis)
• Lacy G Dyke, MMFT, LPC
• Valoria Ealy, LCSW
• Angela Dawn Earhart, M.D.
• Nicholas Alexander Early, MD
• East Texas Spinal Monitoring, PLLC
• Omni Ebow, RDN
• Ecr Clinic PA
• John D Edwards, MD
• Kimra Kaesha Edwards

• Community/Retail Pharmacy in Kingwood, TX
• Providers in Kingwood, 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 Dec 20, 2018; 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.