Organization Active NPI

VN Creative Care Inc

  • Community/Retail Pharmacy
  • Cleveland, TX
National Provider Identifier
1669760492
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
27563 Issued in TX
Legal business name
VN CREATIVE CARE INC
Practice address
111 S William Barnett Ave
Cleveland, TX 77327-4541
Phone
(281) 593-3800
Fax
(281) 593-2928
NPI assigned
Jul 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Authorized official

Name
Nipul Patel
Title
Pharmacists
Phone
(281) 593-3800

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 27563 TX
Community/Retail Pharmacy 3336C0003X 27563 TX Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

111 S William Barnett Ave
Cleveland, TX 77327-4541

Mailing address

111 S William Barnett Ave
Cleveland, TX 77327-4541
Phone (281) 593-3800

Other identifiers 2

IdentifierTypeStateIssuer
146427MedicaidTX
2131104OtherPK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130429000453 TX DME Supplier - Pharmacy 1557507001 Practice locations: Cleveland, TX
O20180830000470 TX Part B Supplier - Pharmacy 1557507001 Practice locations: Cleveland, TX

National Provider Directory

National Provider Directory
Tax ID family
VN Creative Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

111 S William Barnett Ave
Cleveland, TX 77327
Phone (281) 593-3800

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1669760492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S WILLIAM BARNETT AVE",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274541",
            "telephone_number": "281-593-3800",
            "fax_number": "281-593-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S WILLIAM BARNETT AVE",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274541",
            "telephone_number": "281-593-3800",
            "fax_number": "281-593-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VN CREATIVE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-13",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIPUL",
        "authorized_official_title_or_position": "PHARMACISTS",
        "authorized_official_telephone_number": "281-593-3800"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "27563",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27563",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146427",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131104",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.