Skylite Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SKYLITE PHARMACY, LLC

Practice address

490 Interstate 10 N Ste 400
Beaumont, TX 77702-1819

Phone

(409) 757-8180

NPI assigned

Jan 27, 2023

Last updated

Jan 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Syed Asghar Hussain

Title

Officer

Phone

(832) 398-5921

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1811603285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 INTERSTATE 10 N STE 400",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 INTERSTATE 10 N STE 400",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021819",
            "telephone_number": "409-757-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLITE PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "ASGHAR",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "832-398-5921"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.