Active NPI
Acariahealth Pharmacy #11, Inc.
- Long Term Care Pharmacy
- Houston, TX
National Provider Identifier
1710343041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 25485
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146690 | Medicaid | TX |
National Provider Directory
National Provider Directory- Tax ID family
- Acariahelath Pharm 11 Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Houston, TX
- NPI 1215571625
-
- Community/Retail Pharmacy
- Houston, TX
- NPI 1629195045
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.