Farmacia de Medicia Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

23660 Issued in TX

Legal business name

FARMACIA DE MEDICIA INC

Practice address

2715 Fannin St
Houston, TX 77002-9217

Phone

(713) 838-8110

Fax

(713) 838-8797

NPI assigned

Oct 7, 2006

Organization subpart

No

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

Authorized official

Name

Cedric Washington, CPHT

Title

President

Phone

(281) 330-5044

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• MASTERY PHARMACY SOUTH Doing business as

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1740377944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770029217",
            "telephone_number": "713-838-8110",
            "fax_number": "713-838-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770029217",
            "telephone_number": "713-838-8110",
            "fax_number": "713-838-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA DE MEDICIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "CEDRIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-330-5044",
        "authorized_official_credential": "CPHT"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "23660",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145457",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2090578",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MASTERY PHARMACY SOUTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Farley
• Christine Farley, PMHNP
• Etoi Farley, RSA
• Jasmyn Farley
• Farmacia Central RX LLC
• Farmacia del Sol
• Farmacia Etc LLC
• Isabelle Metz Farmer, D.D.S.
• Jessica Farmer, CSA
• John Farmer, MD

• Community/Retail Pharmacy in Houston, TX
• Providers in Houston, 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 Jun 10, 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.