Katy Procare Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

29608 Issued in TX

Legal business name

KATY PROCARE PHARMACY LLC

Practice address

1331 W Grand Pkwy N Ste 111
Katy, TX 77493-2711

Phone

(832) 437-8425

Fax

(832) 437-9129

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Amit Jain

Title

Ceo

Phone

(713) 660-8888

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517184000000",
    "number": "1679584254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 W GRAND PKWY N STE 111",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932711",
            "telephone_number": "832-437-8425",
            "fax_number": "832-437-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 W GRAND PKWY N STE 111",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932711",
            "telephone_number": "832-437-8425",
            "fax_number": "832-437-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATY PROCARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2018-01-29",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-660-8888"
    },
    "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": "29608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147022",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144659",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katy Pharmacy Inc
• Katy Pharmacy Inc (Katy Pharmacy)
• Katy Play Gym LLC (Little Land Katy)
• Katy Premier Anesthesia PLLC
• Katy Proactive Physical Therapy Centers, LLC
• Katy Pulmonary Associates, PA
• Katy Rehabilitation Partners LP (Katy Rehabilitation Hospital)
• Katy Rheumatology & Associates, PA
• Katy RX, Inc. (Brookshire Brothers Pharmacy of Katy)
• Katy Sleep Center LLC

• Community/Retail Pharmacy in Katy, TX
• Providers in Katy, 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 Jan 29, 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.