Organization Active NPI

Distinguished Pharmaceuticals LLC

  • Pharmacy
  • Houston, TX
National Provider Identifier
1669819900
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
28435 Issued in TX
Legal business name
DISTINGUISHED PHARMACEUTICALS LLC
Practice address
12134 Beechnut Street
Houston, TX 77072
Phone
(281) 495-0201
Fax
(281) 495-0200
NPI assigned
May 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Authorized official

Name
Noel Chukwueke
Title
Corporate Officer
Phone
(855) 795-7004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 28435 TX Primary

Addresses

Primary practice location

12134 Beechnut Street
Houston, TX 77072

Mailing address

12134 Beechnut Street
Houston, TX 77072
Phone (281) 495-0201

Other names 1

  • Distinguished Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

12134 Beechnut St
Houston, TX 77072
Phone (281) 495-0201

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1669819900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12134 BEECHNUT STREET",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77072",
            "telephone_number": "281-495-0201",
            "fax_number": "281-495-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12134 BEECHNUT STREET",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77072",
            "telephone_number": "281-495-0201",
            "fax_number": "281-495-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTINGUISHED PHARMACEUTICALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-28",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "CHUKWUEKE",
        "authorized_official_first_name": "NOEL",
        "authorized_official_title_or_position": "CORPORATE OFFICER",
        "authorized_official_telephone_number": "855-795-7004"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "28435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Distinguished Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Distinguished Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.