Organization Active NPI

Village Family Pharmacy LLC

Doing business as Village Medical Pharmacy #1

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1811308950
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
29445 Issued in TX
Legal business name
VILLAGE FAMILY PHARMACY LLC
Doing business as
Village Medical Pharmacy #1
Practice address
9055 Katy Fwy Ste 101
Houston, TX 77024-1663
Phone
(713) 373-3300
Fax
(713) 461-0561
NPI assigned
May 12, 2014
Last updated
May 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Authorized official

Name
David Koon
Title
Director of Pharmacy
Phone
(346) 980-2142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 29445 TX Primary

Addresses

Primary practice location

9055 Katy Fwy Ste 101
Houston, TX 77024-1663

Mailing address

9055 Katy Fwy
Ste 101
Houston, TX 77024-1624
Phone (713) 373-3300

Other identifiers 1

IdentifierTypeStateIssuer
2145691OtherPK

Other names 1

  • Village Medical Pharmacy #1 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1811308950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9055 KATY FWY",
            "address_2": "STE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241624",
            "telephone_number": "713-373-3300",
            "fax_number": "713-461-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9055 KATY FWY STE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241663",
            "telephone_number": "713-373-3300",
            "fax_number": "713-461-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-12",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "KOON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "346-980-2142"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145691",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Medical Pharmacy #1",
            "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 May 14, 2020; 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.