Emerald Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

28110 Issued in TX

Legal business name

EMERALD PHARMACY LLC

Practice address

12863 Gulf Fwy
Houston, TX 77034-4807

Phone

(281) 484-7100

Fax

(281) 484-2600

NPI assigned

Jan 12, 2015

Organization subpart

No

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

Authorized official

Name

Jon Paul Letko

Title

President

Phone

(281) 484-7100

Specialties & licenses 1

Addresses

Tax ID family

Emerald Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Emerald Pharmacy LLC

  • Community/Retail Pharmacy
  • Houston, TX
  • NPI 1750665519
  NPD tax ID

Locations

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1730578972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12863 GULF FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770344807",
            "telephone_number": "281-484-7100",
            "fax_number": "281-484-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12863 GULF FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770344807",
            "telephone_number": "281-484-7100",
            "fax_number": "281-484-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "LETKO",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-484-7100"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "28110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emerald Dental Management, PA (Chloe Dental)
• Emerald Family Dentistry PLLC
• Emerald Healthcare Supply LLC.00.
• Emerald Pediatric Clinic PA
• Emerald Pediatric Clinic PA
• Emerald Pharmacy LLC
• Emerald Total Care LLC
• Emerald Total Care LLC (Emerald Medical Equipment)
• Emerald Total Care LLC (Emerald Total Care)
• Emerald Venture

• Pharmacy in Houston, TX
• Providers in Houston, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.