Active NPI
Hancock Pharmacies Inc
Doing business as Medic Pharmacy
- Community/Retail Pharmacy
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 12563
- Legal business name
- HANCOCK PHARMACIES INC
- Doing business as
- Medic Pharmacy
- Practice address
- 4040 S Braeswood Blvd
Houston, TX 77025-3304 - Phone
- (713) 666-6353
- Fax
- (713) 666-2831
- NPI assigned
- Jun 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gurbhej Cheema, PHARMD
- Title
- President
- Phone
- (713) 666-6353
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility Supplies (DME) | 332BN1400X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 12563 | TX | Primary |
| Long Term Care Pharmacy | 3336L0003X | |||
| Mail Order Pharmacy | 3336M0002X |
Addresses
Primary practice location
4040 S Braeswood Blvd
Houston, TX 77025-3304
Mailing address
4040 S Braeswood Blvd
Houston, TX 77025-3304
Phone (713) 666-6353
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 144804 | Medicaid | TX | |
| 2097174 | Other | PK |
Other names 1
- MEDIC PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240111002333 | TX | Part B Supplier - Pharmacy | 5698896272 | Practice locations: Houston, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2209793 | Medic Pharmacy | Certificate of waiver | Jan 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
4040 S Braeswood Blvd
Houston, TX 77025
Phone (713) 666-6353
539 S Mason Rd
#B
Katy, TX 77450
Phone (281) 829-2727
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Houston, TX
- NPI 1306174388
-
- Pharmacist
- La Porte, TX
- NPI 1134794241
-
- Pharmacist
- Houston, TX
- NPI 1639767353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703030400000",
"number": "1710923602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4040 S BRAESWOOD BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770253304",
"telephone_number": "713-666-6353",
"fax_number": "713-666-2831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 S BRAESWOOD BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770253304",
"telephone_number": "713-666-6353",
"fax_number": "713-666-2831"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANCOCK PHARMACIES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-21",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A",
"authorized_official_last_name": "CHEEMA",
"authorized_official_first_name": "GURBHEJ",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "713-666-6353",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "12563",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "144804",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2097174",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MEDIC PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MEDIC PHARMACY",
"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 Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.