Theia Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

31678 Issued in TX

Legal business name

THEIA PHARMACY

Doing business as

Theia Pharmacy

Practice address

12450 East Fwy Ste 110
Houston, TX 77015-5527

Phone

(713) 504-4511

Fax

(832) 491-0728

NPI assigned

Apr 27, 2018

Organization subpart

No

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

Authorized official

Name

Andre Duruewuru

Title

Pharmacist

Phone

(713) 504-4511

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Theia Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524787200000",
    "number": "1831687508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 MAIN ST APT 1815",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770027546",
            "telephone_number": "713-504-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12450 EAST FWY STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770155527",
            "telephone_number": "713-504-4511",
            "fax_number": "832-491-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEIA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-04-27",
        "status": "A",
        "authorized_official_last_name": "DURUEWURU",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "713-504-4511"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "31678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177128",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Theia Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Houston, TX
• Providers in Houston, 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 Apr 27, 2018; 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.