Amex Pharmacy Inc

Organization Active NPI Community/Retail Pharmacy · Houston, TX

NPI 1720099211 · NPPES record last updated Mar 3, 2020

Key facts

NPI
1720099211
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
15996 (TX)
Legal business name
AMEX PHARMACY INC
Practice address
3030 Canal St
Houston, TX 77003-1627
Phone
(713) 237-9301
Fax
(713) 227-1130
NPI assigned
Aug 10, 2006
Reactivated
Nov 7, 2019
Organization subpart
No

Authorized official

Name
Mohammad Jamal
Title
Ceo
Phone
(346) 814-6611

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20140226000328 TX Part B Supplier - Mass Immunization (Roster Biller Only) 5698895431 Practice locations: Houston, TX

National Provider Directory

Locations

3030 Canal St
Houston, TX 77003
Phone (713) 237-9301

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 15996 TX Yes

Addresses

Primary practice location

3030 Canal St
Houston, TX 77003-1627

Mailing address

3030 Canal St
Houston, TX 77003-1627
Phone (713) 237-9301

Other identifiers

IdentifierTypeStateIssuer
2098322OtherPK
144128MedicaidTX

Other names

  • AMEX UNITED DRUG Doing business as

Other providers in Houston, TX

All providers in Houston, TX · Community/Retail Pharmacy in Texas

Sources for this page

Verify at the official NPI Registry.