Active NPI
Star Rex Pharmacy LLC
- Community/Retail Pharmacy
- Houston, TX
National Provider Identifier
1689810517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 26919
- Legal business name
- STAR REX PHARMACY LLC
- Doing business as
- Star Rex Pharmacy LLC
- Practice address
- 11110 East Fwy
100B
Houston, TX 77029-1914 - Phone
- (832) 767-0816
- Fax
- (832) 767-0819
- NPI assigned
- Dec 23, 2008
- Last updated
- Dec 1, 2016
- 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
- Brentley Gentry, B.S.
- Title
- Operations Manager
- Phone
- (281) 973-8042
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 26919 | TX | Primary |
Addresses
Primary practice location
11110 East Fwy
100B
Houston, TX 77029-1914
Mailing address
9701 N Sam Houston Pkwy E
Suite 110
Humble, TX 77396-4636
Phone (281) 973-8042
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2119649 | Other | PK | |
| 146168 | Medicaid | TX |
Other names 1
- Star Rex Pharmacy LLC
National Provider Directory
National Provider DirectoryLocations
11110 East Fwy
#100B
Houston, TX 77029
Phone (832) 767-0816
9701 N Sam Houston Pkwy E
Ste 110
Humble, TX 77396
Phone (281) 973-8042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1480550400000",
"number": "1689810517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9701 N SAM HOUSTON PKWY E",
"address_2": "SUITE 110",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773964636",
"telephone_number": "281-973-8042",
"fax_number": "281-973-8525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11110 EAST FWY",
"address_2": "100B",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770291914",
"telephone_number": "832-767-0816",
"fax_number": "832-767-0819"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAR REX PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-23",
"last_updated": "2016-12-01",
"status": "A",
"authorized_official_last_name": "GENTRY",
"authorized_official_first_name": "BRENTLEY",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "281-973-8042",
"authorized_official_credential": "B.S."
},
"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": "26919",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2119649",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146168",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Star Rex Pharmacy LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houston, TX
- Star of Maris Home Health Inc.
- Star of Texas Home Health LLC
- Star of Texas Hospice and Palliative Care LLC
- Star Pain Management Equipment LLC
- Star Rehabilitation Center Inc
- Star Therapy Centers Limited Partnership (Star Therapy Services of Copperfield)
- Star Therapy Centers Limited Partnership (Star Therapy Cervices of Cy-Fair)
- Star Therapy Centers Limited Partnership (Star Therapy Services of Cy-Fair)
- Star Torch Healthcare Inc. (Good Hands Home Health)
- Lori Star
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.