Organization Active NPI

Star Rex Pharmacy LLC

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1689810517
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
26919 Issued in TX
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2119649OtherPK
146168MedicaidTX

Other names 1

  • Star Rex Pharmacy LLC Doing business as

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.