Active NPI
LX Homecare, LLC
- Community/Retail Pharmacy
- Houston, TX
National Provider Identifier
1689921983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 27734
- Legal business name
- LX HOMECARE, LLC
- Practice address
- 800 Peakwood Dr
Ste 4-a
Houston, TX 77090 - Phone
- (281) 602-3487
- Fax
- (281) 781-8442
- NPI assigned
- Aug 7, 2012
- Reactivated
- Dec 3, 2018
- Organization subpart
- Yes
- Parent organization
- ASSURANCE CONSOLIDATED PHARMACY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Issam Kheirbeck
- Title
- Managing Officer, Ao
- Phone
- (281) 602-3787
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 27734 | TX | Primary |
Addresses
Primary practice location
800 Peakwood Dr
Ste 4-a
Houston, TX 77090
Mailing address
800 Peakwood Dr Ste 4a
Houston, TX 77090-2914
Phone (281) 602-3487
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146598 | Medicaid | TX | |
| 2136189 | Other | PK |
Other names 1
- NW-ACP
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1543795200000",
"number": "1689921983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 PEAKWOOD DR STE 4A",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770902914",
"telephone_number": "281-602-3487",
"fax_number": "281-781-8442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 PEAKWOOD DR",
"address_2": "STE 4-A",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77090",
"telephone_number": "281-602-3487",
"fax_number": "281-781-8442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LX HOMECARE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ASSURANCE CONSOLIDATED PHARMACY",
"enumeration_date": "2012-08-07",
"last_updated": "2018-12-03",
"deactivation_date": "2018-11-06",
"reactivation_date": "2018-12-03",
"status": "A",
"authorized_official_last_name": "KHEIRBECK",
"authorized_official_first_name": "ISSAM",
"authorized_official_title_or_position": "MANAGING OFFICER, AO",
"authorized_official_telephone_number": "281-602-3787"
},
"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": "27734",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146598",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2136189",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NW-ACP",
"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 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.