Organization Active NPI

Victory Pharmacy LLC

  • Pharmacy
  • Alvin, TX
National Provider Identifier
1699581462
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
VICTORY PHARMACY LLC
Practice address
23869 West State Hwy 6
Suite a
Alvin, TX 77511
Phone
(314) 276-4506
NPI assigned
Dec 6, 2024
Last updated
Dec 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Authorized official

Name
Esther Barinaadaa KekiiNPI 1366716862
Title
Director/Manager
Phone
(314) 276-4506

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

23869 West State Hwy 6
Suite a
Alvin, TX 77511

Mailing address

6306 Logan Creek LN
Sugar Land, TX 77479-3616
Phone (314) 276-4506

Other names 1

  • Victory Pharmacy LLC Other name

National Provider Directory

National Provider Directory

Locations

23869 Highway 6
Ste A
Alvin, TX 77511
Phone (314) 276-4506

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1699581462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6306 LOGAN CREEK LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793616",
            "telephone_number": "314-276-4506",
            "fax_number": "281-497-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23869 WEST STATE HWY 6",
            "address_2": "SUITE A",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "77511",
            "telephone_number": "314-276-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "KEKII",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_middle_name": "BARINAADAA",
        "authorized_official_title_or_position": "DIRECTOR/MANAGER",
        "authorized_official_telephone_number": "314-276-4506"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victory Pharmacy LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alvin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.