Organization Active NPI

Santa Maria Pharmacy, LLC

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1679963623
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
29740 Issued in TX
Legal business name
SANTA MARIA PHARMACY, LLC
Practice address
6108 Gulfton St
Houston, TX 77081-2304
Phone
(713) 592-5300
Fax
(713) 592-5302
NPI assigned
Jan 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Authorized official

Name
Tsigie Girgiro, PHARM.DNPI 1528840790
Title
Owner
Phone
(832) 687-4132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 29740 TX Primary

Addresses

Primary practice location

6108 Gulfton St
Houston, TX 77081-2304

Mailing address

6108 Gulfton St
Houston, TX 77081-2304
Phone (713) 592-5300

Other identifiers 1

IdentifierTypeStateIssuer
148533MedicaidTX

National Provider Directory

National Provider Directory

Locations

5727 Rampart St
Ste A8
Houston, TX 77081

6108 Gulfton St
Houston, TX 77081
Phone (713) 592-5300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1679963623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6108 GULFTON ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770812304",
            "telephone_number": "713-592-5300",
            "fax_number": "713-592-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6108 GULFTON ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770812304",
            "telephone_number": "713-592-5300",
            "fax_number": "713-592-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA MARIA PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "GIRGIRO",
        "authorized_official_first_name": "TSIGIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-687-4132",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148533",
            "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 Feb 24, 2021; 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.