Blue Mint Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28639 Issued in TX

Legal business name

BLUE MINT PHARMACY

Practice address

9888 Bissonnet St Ste 210
Houston, TX 77036-8441

Phone

(713) 773-2535

NPI assigned

Nov 12, 2013

Organization subpart

No

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

Authorized official

Name

Tim Blackwell

Title

Ceo/Owner

Phone

(713) 553-1517

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1801226832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9888 BISSONNET ST STE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368441",
            "telephone_number": "713-773-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9888 BISSONNET ST STE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368441",
            "telephone_number": "713-773-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE MINT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-12",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "713-553-1517"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "28639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Nov 12, 2013; 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.