NPIMap

Organization Active NPI

University of Texas Medical Branch at Galveston

Doing business as Utmb CMC Department of Pharmacy

  • Institutional Pharmacy
  • Huntsville, TX
National Provider Identifier
1770525305
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
20487 Issued in TX
Legal business name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Doing business as
Utmb CMC Department of Pharmacy
Practice address
2400 Avenue I
Huntsville, TX 77340-5830
Phone
(936) 437-5300
Fax
(936) 437-5311
NPI assigned
Jun 11, 2006
Last updated
Mar 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Authorized official

Name
Stephanie Zepeda, PHARMDNPI 1083017347
Title
Avp Pharmacy Services
Phone
(936) 437-5363

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Institutional Pharmacy 3336I0012X 20487 TX Primary

Addresses

Primary practice location

2400 Avenue I
Huntsville, TX 77340-5830

Mailing address

2400 Avenue I
Huntsville, TX 77340-5830
Phone (936) 437-5300

Other identifiers 1

IdentifierTypeStateIssuer
2098755OtherPK

Other names 1

  • UTMB CMC DEPARTMENT OF PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Utmb19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Locations

2400 Avenue I
Huntsville, TX 77340
Phone (936) 437-5300

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1770525305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 AVENUE I",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773405830",
            "telephone_number": "936-437-5300",
            "fax_number": "936-437-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 AVENUE I",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773405830",
            "telephone_number": "936-437-5300",
            "fax_number": "936-437-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "ZEPEDA",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "AVP PHARMACY SERVICES",
        "authorized_official_telephone_number": "936-437-5363",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "TX",
            "license": "20487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2098755",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UTMB CMC DEPARTMENT OF PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 23, 2017; 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.