Village Park Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

VILLAGE PARK PHARMACY LLC

Practice address

24420 FM 1314 Rd Ste 13
Porter, TX 77365-5490

Phone

(281) 747-7164

Fax

(346) 423-0107

NPI assigned

Jan 30, 2024

Organization subpart

No

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

Authorized official

Name

Demetria HolmesNPI 1932961992

Title

Owner

Phone

(832) 793-2800

Specialties & licenses 1

Addresses

Practitioners 1

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

• Demetria Holmes

  • Community/Retail Pharmacy
  • Porter, TX
  • NPI 1932961992
  NPD Authorized official

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1780446161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24420 FM 1314 RD STE 13",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773655490",
            "telephone_number": "281-747-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24420 FM 1314 RD STE 13",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773655490",
            "telephone_number": "281-747-7164",
            "fax_number": "346-423-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PARK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "DEMETRIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-793-2800"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Porter, TX
• Providers in Porter, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.