NPIMap

Organization Active NPI

Sam Houston State University

  • Clinic Pharmacy
  • Huntsville, TX
National Provider Identifier
1740491497
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
SAM HOUSTON STATE UNIVERSITY
Practice address
1608 Avenue J
Huntsville, TX 77340-5227
Phone
(936) 294-1803
Fax
(936) 294-3971
NPI assigned
May 24, 2007
Last updated
Oct 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Authorized official

Name
Erica Bumpurs
Title
Executive Director Health and Wellb
Phone
(936) 294-1843

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X 08007 TX
Clinic Pharmacy 3336C0002X NU Primary

Addresses

Primary practice location

1608 Avenue J
Huntsville, TX 77340-5227

Mailing address

1608 Avenue J
PO Box 2358
Huntsville, TX 77340-5227
Phone (936) 294-1843

Other identifiers 2

IdentifierTypeStateIssuer
4513506OtherNCPDP
5930703OtherNCPDP

Other names 1

  • University Health Center Pharmacy Other name

National Provider Directory

National Provider Directory
Tax ID family
Sam Houston State University5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1528 Avenue J
Huntsville, TX 77340
Phone (936) 294-1210

1608 Avenue J
Huntsville, TX 77340
Phone (936) 294-1803

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1740491497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 AVENUE J",
            "address_2": "PO BOX 2358",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773405227",
            "telephone_number": "936-294-1843",
            "fax_number": "936-294-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 AVENUE J",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773405227",
            "telephone_number": "936-294-1803",
            "fax_number": "936-294-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM HOUSTON STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "BUMPURS",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR HEALTH AND WELLB",
        "authorized_official_telephone_number": "936-294-1843"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "TX",
            "license": "08007",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4513506",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5930703",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Health Center Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Huntsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.