Organization Active NPI

Hillcroft Plaza Pharmacy Inc.

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1780723353
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
16233 Issued in TX
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

Updated by the provider on Sep 7, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
144178MedicaidTX

Other names 1

  • Amber Jar Pharmacy-II Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.