Sitlausdeo Pharmacy LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

SITLAUSDEO PHARMACY LLC

Practice address

12123 Jones Rd
Houston, TX 77070-5208

Phone

(936) 448-8531

NPI assigned

Sep 20, 2022

Organization subpart

No

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

Authorized official

Name

Christine CoonNPI 1528496296

Title

Pharmacist

Phone

(936) 232-8959

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine Coon

  • Pharmacist
  • Houston, TX
  • NPI 1528496296
  NPD Authorized official

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1780307397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12123 JONES RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770705208",
            "telephone_number": "936-232-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12123 JONES RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770705208",
            "telephone_number": "936-448-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SITLAUSDEO PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "COON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "936-232-8959"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Monsiri Sithichaipath
• Amanda Leigh Sitomer, M.S., BCBA
• Maria Gisela Siton, DPT
• Clark W Sitton, M.D.
• Matthew Seth Sitton, MD
• Shelly Broline Sitton, M.D.

• Compounding Pharmacy in Houston, TX
• Providers in Houston, TX by specialty
• Compounding Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.