Active NPI
Mace Care Pharmacy LLC
- Community/Retail Pharmacy
- Houston, TX
National Provider Identifier
1689217069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- MACE CARE PHARMACY LLC
- Doing business as
- Mace Care Pharmacy LLC
- Practice address
- 6306 Gulfton St Ste 102
Houston, TX 77081-1117 - Phone
- (832) 925-7033
- Fax
- (832) 962-8538
- NPI assigned
- Oct 18, 2019
- 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
- Ms. Elizabeth Charlie
- Title
- Authorized Official
- Phone
- (832) 247-0903
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
6306 Gulfton St Ste 102
Houston, TX 77081-1117
Mailing address
6306 Gulfton St Ste 102
Houston, TX 77081-1117
Phone (832) 925-7033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150215 | Medicaid | TX |
Other names 1
- MACE CARE PHARMACY LLC
National Provider Directory
National Provider DirectoryLocations
6306 Gulfton St
Ste 10
Houston, TX 77081
6306 Gulfton St
Ste 102
Houston, TX 77081
Phone (832) 925-7033
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ambulatory Care Pharmacist
- Houston, TX
- NPI 1477123032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638144000000",
"number": "1689217069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6306 GULFTON ST STE 102",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770811117",
"telephone_number": "832-925-7033",
"fax_number": "832-962-8538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6306 GULFTON ST STE 102",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770811117",
"telephone_number": "832-925-7033",
"fax_number": "832-962-8538"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MACE CARE PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-18",
"last_updated": "2021-11-29",
"certification_date": "2021-11-29",
"status": "A",
"authorized_official_last_name": "CHARLIE",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "832-247-0903",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "150215",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MACE CARE PHARMACY LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MACE CARE PHARMACY LLC",
"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 Nov 29, 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.