Organization Active NPI

Excelmed Specialty Pharmacy, LLC

  • Specialty Pharmacy
  • Houston, TX
National Provider Identifier
1679042105
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
EXCELMED SPECIALTY PHARMACY, LLC
Practice address
4654 Highway 6 N Ste 204
Houston, TX 77084-2878
Phone
(713) 291-0954
NPI assigned
Nov 14, 2018
Last updated
Nov 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Authorized official

Name
Dr. Valerie Oji, PHARMD, BCPPNPI 1801891841
Title
Clin Director
Phone
(301) 332-4348

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

4654 Highway 6 N Ste 204
Houston, TX 77084-2878

Mailing address

4654 Highway 6 N Ste 204
Houston, TX 77084-2878
Phone (713) 291-0954

Other identifiers 1

IdentifierTypeStateIssuer
32300OtherTXTEXAS STATE BOARD OF PHARMACY

National Provider Directory

National Provider Directory

Locations

4654 Highway 6 N
Ste 204
Houston, TX 77084
Phone (713) 291-0954

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1679042105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4654 HIGHWAY 6 N STE 204",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770842878",
            "telephone_number": "713-291-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4654 HIGHWAY 6 N STE 204",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770842878",
            "telephone_number": "713-291-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELMED SPECIALTY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A",
        "authorized_official_last_name": "OJI",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "CLIN DIRECTOR",
        "authorized_official_telephone_number": "301-332-4348",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD, BCPP"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF PHARMACY",
            "identifier": "32300",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 14, 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.