Prestige Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

24959 Issued in TX

Legal business name

PRESTIGE PHARMACY INC

Doing business as

Prestige Pharmacy

Practice address

6550 Mapleridge St
Suite 116
Houston, TX 77081-4600

Phone

(832) 778-6552

Fax

(832) 778-6550

NPI assigned

Jul 1, 2010

Last updated

Aug 21, 2014By 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

Amanuel Ghebremichael

Title

Pharm/Owner

Phone

(832) 778-6652

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Prestige Pharmacy Doing business as

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1780995084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 MAPLERIDGE ST",
            "address_2": "SUITE 116",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770814600",
            "telephone_number": "832-778-6552",
            "fax_number": "832-778-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 MAPLERIDGE ST",
            "address_2": "SUITE 116",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770814600",
            "telephone_number": "832-778-6552",
            "fax_number": "832-778-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-01",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "GHEBREMICHAEL",
        "authorized_official_first_name": "AMANUEL",
        "authorized_official_title_or_position": "PHARM/OWNER",
        "authorized_official_telephone_number": "832-778-6652"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "24959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2129018",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145650",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestige Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prestige Medical Pain Clinic LLC
• Prestige Multiservices Management Co, LLC
• Prestige Neurodiagnostics LLC
• Prestige Pharmacy
• Prestige Surgical Assistants
• Prestige Surgical Assistants, LLC
• Prestige Transportation Services
• Prestigious Counseling & Consulting Services, PLLC
• Prestigious Provider Services

• Community/Retail Pharmacy in Houston, TX
• Providers in Houston, 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 Aug 21, 2014; 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.