Organization Active NPI

Mace Care Pharmacy LLC

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1689217069
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Nov 29, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
150215MedicaidTX

Other names 1

  • MACE CARE PHARMACY LLC Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.