Organization Active NPI

Evoluciona Pharma LLC

  • Compounded Sterile Preparations Pharmacist
  • Stafford, TX
National Provider Identifier
1790633295
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounded Sterile Preparations PharmacistTaxonomy code 1835C0207X
Legal business name
EVOLUCIONA PHARMA LLC
Practice address
10402 Fountaingate Dr # B
Stafford, TX 77477
Phone
(737) 717-0627
NPI assigned
Mar 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Justin Swanberg, PHARM DNPI 1437488194
Title
Pic
Phone
(888) 491-3259

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounded Sterile Preparations PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 1835C0207X Primary

Addresses

Primary practice location

10402 Fountaingate Dr # B
Stafford, TX 77477

Mailing address

10402 Fountaingate Dr # B
Stafford, TX 77477
Phone (888) 491-3259

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1773878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1790633295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10402 FOUNTAINGATE DR # B",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "77477",
            "telephone_number": "888-491-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10402 FOUNTAINGATE DR # B",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "77477",
            "telephone_number": "737-717-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUCIONA PHARMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "SWANBERG",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "888-491-3259",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "1835C0207X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Compounded Sterile Preparations",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.