NPIMap

Organization Active NPI

Medrick Morris

Doing business as On Time Pharmacy

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1811138399
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MEDRICK MORRIS
Doing business as
On Time Pharmacy
Practice address
14455 Cullen Blvd
Ste. C-1
Houston, TX 77047-4800
Phone
(713) 731-0880
Fax
(713) 731-2005
NPI assigned
Mar 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Authorized official

Name
Mr. Medrick Mason MorrisNPI 1710128012
Title
Owner
Phone
(713) 731-0880

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 26341 TX
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

14455 Cullen Blvd
Ste. C-1
Houston, TX 77047-4800

Mailing address

14455 Cullen Blvd
Ste. C-1
Houston, TX 77047-4800
Phone (713) 731-0880

Other identifiers 1

IdentifierTypeStateIssuer
149254MedicaidTX

Other names 1

  • On Time Pharmacy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ontimemed@ymail.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Medrick Morris3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1811138399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14455 CULLEN BLVD",
            "address_2": "STE. C-1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770474800",
            "telephone_number": "713-731-0880",
            "fax_number": "713-731-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14455 CULLEN BLVD",
            "address_2": "STE. C-1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770474800",
            "telephone_number": "713-731-0880",
            "fax_number": "713-731-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDRICK MORRIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "MEDRICK",
        "authorized_official_middle_name": "MASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-731-0880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "26341",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149254",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ontimemed@ymail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "14455 Cullen Blvd",
            "address_2": "STE. C-1",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770474800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "On Time 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 Feb 24, 2022; 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.