NPIMap

Organization Active NPI

SSRX LLC

Doing business as SSRX Pharmacy 1

  • Community/Retail Pharmacy
  • Bellaire, TX
National Provider Identifier
1790355576
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SSRX LLC
Doing business as
SSRX Pharmacy 1
Practice address
6330 West Loop South
Suite 700 D, 7TH Floor
Bellaire, TX 77401-2928
Phone
(713) 660-8888
Fax
(713) 661-4828
NPI assigned
Jun 25, 2021
Last updated
Jun 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Authorized official

Name
Mark Gary Fetcenko
Title
Coo
Phone
(713) 660-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

6330 West Loop South
Suite 700 D, 7TH Floor
Bellaire, TX 77401-2928

Mailing address

6330 West Loop South
Suite 700 D, 7TH Floor
Bellaire, TX 77401-2928
Phone (832) 553-1385

Other names 1

  • SSRX Pharmacy 1 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
SSRX LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1790355576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 WEST LOOP SOUTH",
            "address_2": "SUITE 700 D, 7TH FLOOR",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012928",
            "telephone_number": "832-553-1385",
            "fax_number": "713-661-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 WEST LOOP SOUTH",
            "address_2": "SUITE 700 D, 7TH FLOOR",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012928",
            "telephone_number": "713-660-8888",
            "fax_number": "713-661-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSRX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "FETCENKO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "713-660-8888"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSRX Pharmacy 1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.