Pharma Source RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PHARMA SOURCE RX INC

Practice address

19855 Southwest Fwy Ste 220
Sugar Land, TX 77479-6536

Phone

(281) 762-2020

Fax

(832) 363-1014

NPI assigned

Mar 20, 2020

Organization subpart

No

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

Authorized official

Name

Laura L Cantu

Title

Managing Officer/Owner

Phone

(281) 762-2020

Specialties & licenses 2

Addresses

Electronic endpoints 8

Tax ID family

Pharma Source RX Inc2 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.

• Pharma Source RX Inc

  • Community/Retail Pharmacy
  • Sugar Land, TX
  • NPI 1700483112
  NPD tax ID

Locations

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1811523905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S 9TH ST STE 109",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774693448",
            "telephone_number": "281-762-2020",
            "fax_number": "832-363-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19855 SOUTHWEST FWY STE 220",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796536",
            "telephone_number": "281-762-2020",
            "fax_number": "832-363-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMA SOURCE RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-20",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "CANTU",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING OFFICER/OWNER",
        "authorized_official_telephone_number": "281-762-2020"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Richmond",
            "affiliation": "N",
            "endpointDescription": "pharmacy",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Richmond",
            "address_1": "301 S 9th St Ste 109",
            "city": "Richmond",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774693448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Richmond",
            "affiliation": "N",
            "endpointDescription": "Pharmacy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Richmond",
            "address_1": "301 S 9th St Ste 109",
            "city": "Richmond",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774693448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Richmond",
            "affiliation": "N",
            "endpointDescription": "Pharmacy",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Richmond",
            "address_1": "301 S 9th St Ste 109",
            "city": "Richmond",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774693448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Richmond",
            "affiliation": "N",
            "endpointDescription": "pharmacy",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Rosenberg",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Richmond",
            "address_1": "301 S 9th St Ste 109",
            "city": "Richmond",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774693448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SugarLand",
            "affiliation": "N",
            "endpointDescription": "Richmond",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "19855 Southwest Fwy Ste 220",
            "city": "Sugar Land",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774796536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SugarLand",
            "affiliation": "N",
            "endpointDescription": "Richmond",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "19855 Southwest Fwy Ste 220",
            "city": "Sugar Land",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774796536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SugarLand",
            "affiliation": "N",
            "endpointDescription": "Pharmacy",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "SugarLand",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Sugar Land",
            "address_1": "19855 Southwest Fwy Ste 220",
            "city": "Sugar Land",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774796536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Richmond",
            "affiliation": "N",
            "address_1": "301 S 9th St Ste 109",
            "city": "Richmond",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774693448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community/Retail Pharmacy in Sugar Land, TX
• Providers in Sugar Land, 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 Jan 4, 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.