Aldine Health Care, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

24334 Issued in TX

Legal business name

ALDINE HEALTH CARE, INC.

Practice address

12845 Capricorn St
Stafford, TX 77477-3911

Phone

(281) 999-4600

Fax

(281) 242-1739

NPI assigned

Apr 17, 2007

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David G Davila

Title

President

Phone

(281) 999-4600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1780800805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12845 CAPRICORN ST",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773911",
            "telephone_number": "281-999-4600",
            "fax_number": "281-242-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12845 CAPRICORN ST",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773911",
            "telephone_number": "281-999-4600",
            "fax_number": "281-242-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDINE HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "DAVILA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-999-4600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "24334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320254",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Stafford, TX
• Providers in Stafford, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.