JSW Prosperity, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

29425 Issued in TX

Legal business name

JSW PROSPERITY, LLC

Practice address

17310 W Grand Pkwy S Ste Z
Sugar Land, TX 77479-2586

Phone

(832) 471-6891

Fax

(888) 315-3840

NPI assigned

Aug 20, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Nichole Buzzetta

Title

Manager

Phone

(832) 471-6891

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• 1 Stop Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1831598341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17310 W GRAND PKWY S STE Z",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792586",
            "telephone_number": "832-471-6891",
            "fax_number": "888-315-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17310 W GRAND PKWY S STE Z",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792586",
            "telephone_number": "832-471-6891",
            "fax_number": "888-315-3840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11725 W Bellfort St",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "TX",
            "postal_code": "774771301",
            "country_code": "US",
            "telephone_number": "832-328-5996",
            "fax_number": "832-328-9126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JSW PROSPERITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BUZZETTA",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-471-6891",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF PHARMACY",
            "identifier": "29425",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1 Stop Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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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 Jul 21, 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.