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Organization Active NPI

The Methodist Hospital

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1801208665
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
THE METHODIST HOSPITAL
Practice address
13300 Hargrave Rd Ste 360
Houston, TX 77070-4374
Phone
(281) 737-0070
Fax
(281) 737-0071
NPI assigned
May 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Authorized official

Name
Marc Boom
Title
President & Ceo
Phone
(713) 441-4632

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

13300 Hargrave Rd Ste 360
Houston, TX 77070-4374

Mailing address

13300 Hargrave Rd Ste 360
Houston, TX 77070-4374
Phone (281) 737-0070

Other names 1

  • Houston Methodist Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200929002309 TX DME Supplier - Pharmacy 1456269851 Practice locations: Houston, TX

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Methodist Hospital4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

6565 Fannin St
#109
Houston, TX 77030
Phone (713) 441-1858

Ownership & related parties

All facility ownership & control disclosures 12

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Houston Methodist HospitalHouston, TX, CCN 450358 Hospital Other Jun 1, 2012
Houston Methodist Baytown HospitalBaytown, TX, CCN 450424 Hospital 5% Or Greater Indirect Ownership Interest
Operational/Managerial Control (100%)		 Apr 4, 1966
Apr 4, 1966
Houston Methodist HospitalHouston, TX, CCN 45S358 Hospital Other Jun 1, 2012
Houston Methodist HospitalHouston, TX, CCN 45T358 Hospital Other Jun 1, 2012
Houston Methodist Sugar Land HospitalSugar Land, TX, CCN 450820 Hospital 5% Or Greater Indirect Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 4, 1996
Apr 4, 1966
Houston Methodist Willowbrook HospitalHouston, TX, CCN 450844 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jun 1, 1997
Houston Methodist West HospitalHouston, TX, CCN 670077 Hospital 5% Or Greater Indirect Ownership Interest
Operational/Managerial Control (100%)		 Sep 18, 2010
Sep 18, 2010
Houston Methodist Clear Lake HospitalHouston, TX, CCN 450709 Hospital Operational/Managerial Control (100%)
Other (100%)		 Feb 1, 2014
Feb 1, 2014
Houston Methodist Continuing Care HospitalKaty, TX, CCN 452118 Hospital Operational/Managerial Control
Other (100%)		 Feb 1, 2014
Feb 1, 2014
Houston Methodist the Woodlands HospitalThe Woodlands, TX, CCN 670122 Hospital 5% Or Greater Indirect Ownership Interest
Operational/Managerial Control		 Nov 2, 2015
Nov 2, 2015
Houston Methodist Cypress HospitalCypress, TX, CCN 670342 Hospital 5% Or Greater Indirect Ownership Interest (100%) Mar 17, 2025
Houston Methodist HospitalHouston, TX, CCN 675370 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 1, 1995
Aug 1, 1995

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 3

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": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1801208665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13300 HARGRAVE RD STE 360",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704374",
            "telephone_number": "281-737-0070",
            "fax_number": "281-737-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13300 HARGRAVE RD STE 360",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704374",
            "telephone_number": "281-737-0070",
            "fax_number": "281-737-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE METHODIST HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "BOOM",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "713-441-4632"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Houston Methodist Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.