Active NPI
VN Creative Care Inc
- Community/Retail Pharmacy
- Cleveland, TX
National Provider Identifier
1669760492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 27563
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146427 | Medicaid | TX | |
| 2131104 | Other | PK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Cleveland, TX
- NPI 1306574132
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.