Precision PHS LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PRECISION PHS LLC

Practice address

1455 FM 646 Rd W Ste 200
Dickinson, TX 77539-2038

Phone

(832) 632-8386

NPI assigned

Sep 16, 2020

Organization subpart

No

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

Authorized official

Name

Raul Jose De la Vega

Title

Authorized Official

Phone

(786) 529-8517

Specialties & licenses 1

Addresses

Other names 1

• Precision Rx Doing business as

Locations

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1720694672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 FM 646 RD W STE 200",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775392038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 FM 646 RD W STE 200",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775392038",
            "telephone_number": "832-632-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION PHS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "DE LA VEGA",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "786-529-8517"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Rx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Precision Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Dickinson, TX
• Providers in Dickinson, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.