Organization Active NPI

Icon Pharmacy

  • Community/Retail Pharmacy
  • Katy, TX
National Provider Identifier
1689979205
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
27317 Issued in TX
Legal business name
ICON PHARMACY
Practice address
810 S Mason Rd
Ste 102
Katy, TX 77450-3895
Phone
(832) 437-2800
NPI assigned
Jan 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Thomas O Omeh
Title
Pic
Phone
(832) 437-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 27317 TX Primary

Addresses

Primary practice location

810 S Mason Rd
Ste 102
Katy, TX 77450-3895

Mailing address

810 S Mason Rd Ste 102
Katy, TX 77450-3857

National Provider Directory

National Provider Directory

Locations

810 S Mason Rd
Ste 102
Katy, TX 77450
Phone (832) 437-2800

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1689979205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 S MASON RD STE 102",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774503857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 S MASON RD",
            "address_2": "STE 102",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774503895",
            "telephone_number": "832-437-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICON PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "OMEH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "832-437-2800",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.