NPIMap

Organization Active NPI

Genesis Apothecary Inc

  • Mail Order Pharmacy
  • Sugar Land, TX
National Provider Identifier
1821612441
Registry record updated May 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
Legal business name
GENESIS APOTHECARY INC
Doing business as
Rosh Pharmacy
Practice address
101 Southwestern Blvd Ste 100
Sugar Land, TX 77478-3548
Phone
(281) 203-7829
Fax
(713) 583-1802
NPI assigned
May 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2020

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

Authorized official

Name
Sejal Shan
Title
President
Phone
(281) 203-7829

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mail Order Pharmacy 3336M0002X Primary

Addresses

Primary practice location

101 Southwestern Blvd Ste 100
Sugar Land, TX 77478-3548

Mailing address

101 Southwestern Blvd Ste 100
Sugar Land, TX 77478-3548
Phone (281) 203-7829

Other identifiers 1

IdentifierTypeStateIssuer
149677MedicaidTX

Other names 1

  • Rosh Pharmacy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Email Direct

National Provider Directory

National Provider Directory
Tax ID family
Genesis Apothecary 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.

NPI Registry JSON

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590796800000",
    "number": "1821612441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SOUTHWESTERN BLVD STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783548",
            "telephone_number": "281-203-7829",
            "fax_number": "713-583-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SOUTHWESTERN BLVD STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783548",
            "telephone_number": "281-203-7829",
            "fax_number": "713-583-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS APOTHECARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-05-30",
        "certification_date": "2020-05-30",
        "status": "A",
        "authorized_official_last_name": "SHAN",
        "authorized_official_first_name": "SEJAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-203-7829"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149677",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Email",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "101 Southwestern Blvd Ste 100",
            "city": "Sugar Land",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774783548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Rosh Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.