NPIMap

Organization Active NPI

Primera Compounding, LLC

  • Pharmacy
  • Sugar Land, TX
National Provider Identifier
1821746751
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
PRIMERA COMPOUNDING, LLC
Practice address
3745 Highway 6
Sugar Land, TX 77478-5249
Phone
(346) 350-5194
Fax
(346) 321-4500
NPI assigned
Mar 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Authorized official

Name
Basil Raad, RPHNPI 1235580994
Title
President
Phone
(281) 202-6129

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

3745 Highway 6
Sugar Land, TX 77478-5249

Mailing address

30444 Southwest Fwy
Rosenberg, TX 77471-4871
Phone (281) 202-6136

Other names 1

  • Primera Professional Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Primera Compounding LLC2 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.

Locations

3745 Highway 6
Sugar Land, TX 77478
Phone (346) 350-5194

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1821746751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30444 SOUTHWEST FWY",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774714871",
            "telephone_number": "281-202-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 HIGHWAY 6",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774785249",
            "telephone_number": "346-350-5194",
            "fax_number": "346-321-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMERA COMPOUNDING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "RAAD",
        "authorized_official_first_name": "BASIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-202-6129",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primera Professional 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 Mar 10, 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.