Active NPI
Hillcroft Plaza Pharmacy Inc.
- Community/Retail Pharmacy
- Houston, TX
National Provider Identifier
1780723353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 16233
- Legal business name
- HILLCROFT PLAZA PHARMACY INC.
- Practice address
- 6655 Hillcroft St
108
Houston, TX 77081-4815 - Phone
- (713) 541-6655
- Fax
- (713) 541-0052
- NPI assigned
- Feb 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Walla A Moussa, C.PHT.
- Title
- Managing Officer
- Phone
- (281) 908-4541
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 16233 | TX | Primary |
Addresses
Primary practice location
6655 Hillcroft St
108
Houston, TX 77081-4815
Mailing address
6655 Hillcroft St
108
Houston, TX 77081-4815
Phone (713) 541-6655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 144178 | Medicaid | TX |
Other names 1
- Amber Jar Pharmacy-II
National Provider Directory
National Provider DirectoryLocations
6655 Hillcroft Ave
Ste 108
Houston, TX 77081
Phone (713) 541-6655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662508800000",
"number": "1780723353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6655 HILLCROFT ST",
"address_2": "108",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770814815",
"telephone_number": "713-541-6655",
"fax_number": "713-541-0052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6655 HILLCROFT ST",
"address_2": "108",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770814815",
"telephone_number": "713-541-6655",
"fax_number": "713-541-0052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILLCROFT PLAZA PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A",
"authorized_official_last_name": "MOUSSA",
"authorized_official_first_name": "WALLA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MANAGING OFFICER",
"authorized_official_telephone_number": "281-908-4541",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "C.PHT."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "16233",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "144178",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Amber Jar Pharmacy-II",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.