Pro Med RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PRO MED RX LLC

Practice address

13134 Dairy Ashford Rd Ste 900
Sugar Land, TX 77478-3766

Phone

(281) 313-0730

NPI assigned

Apr 15, 2019

Organization subpart

No

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

Authorized official

Name

Stasha Scruggs

Title

Director

Phone

(281) 313-0730

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PRO MED RX Doing business as

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555286400000",
    "number": "1831752922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13134 DAIRY ASHFORD RD STE 900",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13134 DAIRY ASHFORD RD STE 900",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783766",
            "telephone_number": "281-313-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO MED RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A",
        "authorized_official_last_name": "SCRUGGS",
        "authorized_official_first_name": "STASHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "281-313-0730"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF PHARMACY",
            "identifier": "27166",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRO MED RX",
            "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 Apr 15, 2019; 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.