Organization Active NPI

Amex Pharmacy Inc

Doing business as Amex United Drug

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1720099211
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
15996 Issued in TX
Legal business name
AMEX PHARMACY INC
Doing business as
Amex United Drug
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
Last updated
Mar 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Authorized official

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

Specialties & licenses 2

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

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 names 1

  • AMEX UNITED DRUG Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

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

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1720099211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 CANAL ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770031627",
            "telephone_number": "713-237-9301",
            "fax_number": "713-227-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 CANAL ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770031627",
            "telephone_number": "713-237-9301",
            "fax_number": "713-227-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEX PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "deactivation_date": "2019-10-21",
        "reactivation_date": "2019-11-07",
        "status": "A",
        "authorized_official_last_name": "JAMAL",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "346-814-6611"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "15996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMEX UNITED DRUG",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AMEX UNITED DRUG",
            "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 Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.