NPIMap

Organization Active NPI

HDK Enterprises LLC

  • Community/Retail Pharmacy
  • Bellaire, TX
National Provider Identifier
1821159906
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
25057 Issued in TX
Legal business name
HDK ENTERPRISES LLC
Practice address
6330 West Loop South
Ste 700 D
Bellaire, TX 77401-2928
Phone
(713) 660-8888
Fax
(713) 661-4828
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Authorized official

Name
Mark Fetcenko
Title
Coo-Officer
Phone
(832) 553-1301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 25057 TX Primary

Addresses

Primary practice location

6330 West Loop South
Ste 700 D
Bellaire, TX 77401-2928

Mailing address

6330 West Loop South
Ste 700
Bellaire, TX 77401-2928
Phone (713) 660-8888

Other names 1

  • SOUTHSIDE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
HDK Enterprises LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7700 Main St
Ste 100
Houston, TX 77030

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1821159906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 WEST LOOP SOUTH",
            "address_2": "STE 700",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012928",
            "telephone_number": "713-660-8888",
            "fax_number": "713-661-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 WEST LOOP SOUTH",
            "address_2": "STE 700 D",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012928",
            "telephone_number": "713-660-8888",
            "fax_number": "713-661-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HDK ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "FETCENKO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "COO-OFFICER",
        "authorized_official_telephone_number": "832-553-1301"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "25057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHSIDE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SOUTHSIDE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.