Radiant Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

RADIANT PHARMACY LLC

Practice address

1100 FM 1092 Rd Ste D
Missouri City, TX 77459-1588

Phone

(832) 440-7061

Fax

(832) 440-7647

NPI assigned

Apr 2, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Reeba Panicker

Title

Owner

Phone

(832) 440-7061

Specialties & licenses 1

Addresses

Tax ID family

Radiant Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Radiant Pharmacy LLC

  • Community/Retail Pharmacy
  • Missouri City, TX
  • NPI 1114698768
  NPD tax ID

Practitioners 1

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

• Aaron Wayne Frazier

  • Community/Retail Pharmacy
  • Missouri City, TX
  • NPI 1770252231
  NPD

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1801475488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 FM 1092 RD STE D",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774591588",
            "telephone_number": "832-440-7061",
            "fax_number": "832-440-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 FM 1092 RD STE D",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774591588",
            "telephone_number": "832-440-7061",
            "fax_number": "832-440-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "PANICKER",
        "authorized_official_first_name": "REEBA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-440-7061",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Basel A Rabie
• Michela Raciti, LPC, BCBA
• Ryan Rackley
• Tiffany Ann Raczy, LCSW
• Radiant Pharmacy LLC
• Anthony Rafaile, DDS
• Rafiah Khan DDS, PLLC
• Rafiki'S Gifted and Compassionate Care Group
• Rafiki'S Gifted and Compassionate Care Group
• Zahra Rahim, PHARM D.

• Pharmacy in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.