Crosby Pharmacy & Wellness, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

31958 Issued in TX

Legal business name

CROSBY PHARMACY & WELLNESS, LLC

Doing business as

Crosby Pharmacy & Wellness

Practice address

18446 TX - 105 Ste D
Montgomery, TX 77356

Phone

(281) 462-7092

Fax

(281) 462-7230

NPI assigned

May 8, 2018

Last updated

Nov 18, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hermie Thomas

Title

Officer/Pharmacy Manager

Phone

(281) 462-7092

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Crosby Pharmacy & Wellness Doing business as

Tax ID family

Crosby Pharmacy and Wellness2 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.

• Crosby Pharmacy and Wellness

  • Community/Retail Pharmacy
  • Crosby, TX
  • NPI 1225525041
  NPD tax ID

Locations

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574035200000",
    "number": "1770072415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18446 TX - 105 STE D",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "77356",
            "telephone_number": "281-462-7092",
            "fax_number": "281-462-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18446 TX - 105 STE D",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "77356",
            "telephone_number": "281-462-7092",
            "fax_number": "281-462-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSBY PHARMACY & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2019-11-18",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "HERMIE",
        "authorized_official_title_or_position": "OFFICER/PHARMACY MANAGER",
        "authorized_official_telephone_number": "281-462-7092"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "31958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177363",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crosby Pharmacy & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Montgomery, TX
• Providers in Montgomery, 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 Nov 18, 2019; 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.