Organization Active NPI

CC Pharmacy LLC

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1700310158
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
30743 Issued in TX
Legal business name
CC PHARMACY LLC
Doing business as
CC Pharmacy LLC
Practice address
2656 S Loop W Ste 395
Houston, TX 77054-5603
Phone
(832) 775-6978
Fax
(832) 940-2676
NPI assigned
Apr 12, 2017
Last updated
Apr 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Authorized official

Name
Dustin Curry
Title
Managing Partner
Phone
(832) 775-6798

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 30743 TX Primary
Long Term Care Pharmacy 3336L0003X NU

Addresses

Primary practice location

2656 S Loop W Ste 395
Houston, TX 77054-5603

Mailing address

2656 S Loop W Ste 395
Houston, TX 77054-5603
Phone (832) 775-6978

Other identifiers 1

IdentifierTypeStateIssuer
2168647OtherPK

Other names 1

  • CC Pharmacy LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CC Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1700310158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2656 S LOOP W STE 395",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770545603",
            "telephone_number": "832-775-6978",
            "fax_number": "832-940-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2656 S LOOP W STE 395",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770545603",
            "telephone_number": "832-775-6978",
            "fax_number": "832-940-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CC PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-12",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "CURRY",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "832-775-6798"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "30743",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168647",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CC 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 Apr 12, 2017; 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.