Organization Active NPI

Ideal Pharmacy

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1700245503
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
30635 Issued in TX
Legal business name
IDEAL PHARMACY
Practice address
2904 Fulton St Ste a
Houston, TX 77009-5792
Phone
(832) 834-7463
Fax
(832) 834-7457
NPI assigned
Feb 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Authorized official

Name
Alex James Deal, RPH
Title
Pharmacist in Charge
Phone
(281) 728-9761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 30635 TX Primary

Addresses

Primary practice location

2904 Fulton St Ste a
Houston, TX 77009-5792

Mailing address

24601 Hosford Meadows Dr
Porter, TX 77365-3083
Phone (832) 834-7463

National Provider Directory

National Provider Directory

Locations

2904 Fulton St
Ste A
Houston, TX 77009
Phone (832) 834-7463

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1700245503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24601 HOSFORD MEADOWS DR",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773653083",
            "telephone_number": "832-834-7463",
            "fax_number": "832-834-7457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 FULTON ST STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770095792",
            "telephone_number": "832-834-7463",
            "fax_number": "832-834-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "DEAL",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "281-728-9761",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "30635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 22, 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.