Organization Active NPI

Briargrove Pharmacy Inc

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1790796381
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
21459 Issued in TX
Legal business name
BRIARGROVE PHARMACY INC
Practice address
6435 San Felipe St
Houston, TX 77057-2705
Phone
(713) 783-5704
Fax
(713) 783-5482
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Authorized official

Name
David Devido
Title
Owner
Phone
(713) 783-5704

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 21459 TX Primary

Addresses

Primary practice location

6435 San Felipe St
Houston, TX 77057-2705

Mailing address

6435 San Felipe St
Houston, TX 77057-2705
Phone (713) 783-5704

Other identifiers 2

IdentifierTypeStateIssuer
4520599OtherNCPDP PROVIDER IDENTIFICATION NUMBER
145152MedicaidTX

Other names 1

  • BRIARGROVE PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1790796381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6435 SAN FELIPE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770572705",
            "telephone_number": "713-783-5704",
            "fax_number": "713-783-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6435 SAN FELIPE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770572705",
            "telephone_number": "713-783-5704",
            "fax_number": "713-783-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIARGROVE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "DEVIDO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-783-5704"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "21459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4520599",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145152",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIARGROVE PHARMACY",
            "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 27, 2012; 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.