Divine Health Pharmacy, PLLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

DIVINE HEALTH PHARMACY, PLLC

Practice address

6730 Atascocita Rd Ste 114
Atascocita, TX 77346-1995

Phone

(281) 318-7696

Fax

(832) 777-6073

NPI assigned

May 1, 2024

Organization subpart

No

Name

Nicole Malbrough-Ivory, LVN,CPHT

Title

Owner

Phone

(281) 318-7696

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2025.

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1740037555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6730 ATASCOCITA RD STE 114",
            "city": "ATASCOCITA",
            "state": "TX",
            "postal_code": "773461995",
            "telephone_number": "281-318-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6730 ATASCOCITA RD STE 114",
            "city": "ATASCOCITA",
            "state": "TX",
            "postal_code": "773461995",
            "telephone_number": "281-318-7696",
            "fax_number": "832-777-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HEALTH PHARMACY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "MALBROUGH-IVORY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-318-7696",
        "authorized_official_credential": "LVN,CPHT"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Atascocita, TX
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.