Organization Active NPI

Acariahealth Pharmacy #11, Inc.

  • Long Term Care Pharmacy
  • Houston, TX
National Provider Identifier
1710343041
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
25485 Issued in TX
Legal business name
ACARIAHEALTH PHARMACY #11, INC.
Practice address
1311 W Sam Houston Pkwy N
130
Houston, TX 77043-4010
Phone
(832) 900-1367
Fax
(713) 654-8021
NPI assigned
Dec 31, 2015
Organization subpart
Yes
Parent organization
ACARIAHEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Authorized official

Name
Stephen Jensen
Title
President
Phone
(800) 511-5144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 25485 TX Primary

Addresses

Primary practice location

1311 W Sam Houston Pkwy N
130
Houston, TX 77043-4010

Mailing address

6923 Lee Vista Blvd Ste 300
Orlando, FL 32822-4703
Phone (855) 422-2742

Other identifiers 1

IdentifierTypeStateIssuer
146690MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Acariahelath Pharm 11 Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1311 W Sam Houston Pkwy N
Ste 130
Houston, TX 77043
Phone (713) 651-8001

NPI Registry JSON

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1710343041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6923 LEE VISTA BLVD STE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328224703",
            "telephone_number": "855-422-2742",
            "fax_number": "866-834-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 W SAM HOUSTON PKWY N",
            "address_2": "130",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770434010",
            "telephone_number": "832-900-1367",
            "fax_number": "713-654-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACARIAHEALTH PHARMACY #11, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACARIAHEALTH, INC.",
        "enumeration_date": "2015-12-31",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-511-5144"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "25485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146690",
            "state": "TX"
        }
    ],
    "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 Mar 11, 2020; 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.