Organization Active NPI

Rapha Pharmacy

  • Pharmacy
  • Houston, TX
National Provider Identifier
1720193766
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
21402 Issued in TX
Legal business name
RAPHA PHARMACY
Practice address
12600 Bissonnet St Ste E1
Houston, TX 77099-1395
Phone
(832) 328-1855
Fax
(832) 328-1845
NPI assigned
Aug 20, 2006
Organization subpart
Yes
Parent organization
RAPHA RESOURCES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Authorized official

Name
Pamela Fomunung
Title
Dir of Phrmcy
Phone
(832) 328-1855

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 21402 TX Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

12600 Bissonnet St Ste E1
Houston, TX 77099-1395

Mailing address

12600 Bissonnet St Ste E1
Houston, TX 77099-1395
Phone (832) 328-1855

Other identifiers 2

IdentifierTypeStateIssuer
4521301OtherOTHER ID NUMBER-COMMERCIAL NUMBER
145146MedicaidTX

National Provider Directory

National Provider Directory
Part of
Rapha Pharmacy

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1720193766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 BISSONNET ST STE E1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770991395",
            "telephone_number": "832-328-1855",
            "fax_number": "832-328-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 BISSONNET ST STE E1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770991395",
            "telephone_number": "832-328-1855",
            "fax_number": "832-328-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHA PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RAPHA RESOURCES INC",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "FOMUNUNG",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "DIR OF PHRMCY",
        "authorized_official_telephone_number": "832-328-1855"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "21402",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4521301",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145146",
            "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 Oct 8, 2008; 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.