Organization Active NPI

Nexus Med Inc

  • Community/Retail Pharmacy
  • Cleveland, TX
National Provider Identifier
1811207772
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
27194 Issued in TX
Legal business name
NEXUS MED INC
Doing business as
Prime Rx Pharmacy
Practice address
200 E Boothe St Ste 103
Cleveland, TX 77327-4063
Phone
(713) 451-0200
Fax
(713) 451-0206
NPI assigned
Oct 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Sang Ahn
Title
Pharmacist-in-Charge
Phone
(713) 451-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 27194 TX Primary

Addresses

Primary practice location

200 E Boothe St Ste 103
Cleveland, TX 77327-4063

Mailing address

200 E Boothe St Ste 103
Cleveland, TX 77327-4063
Phone (713) 451-0200

Other identifiers 1

IdentifierTypeStateIssuer
2127166OtherPK

Other names 1

  • Prime Rx Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nexus Med Inc3 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.

Locations

200 E Boothe St
Ste 103
Cleveland, TX 77327
Phone (281) 806-7680

NPI Registry JSON

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1811207772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E BOOTHE ST STE 103",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274063",
            "telephone_number": "713-451-0200",
            "fax_number": "713-451-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E BOOTHE ST STE 103",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274063",
            "telephone_number": "713-451-0200",
            "fax_number": "713-451-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS MED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "SANG",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "713-451-0200"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127166",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Rx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prime Rx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.