Organization Active NPI

Stafford Pharmacy & DME LLC

  • Long Term Care Pharmacy
  • Stafford, TX
National Provider Identifier
1831920966
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
STAFFORD PHARMACY & DME LLC
Practice address
2448 S Main St
Stafford, TX 77477-5522
Phone
(281) 969-5901
Fax
(832) 539-6278
NPI assigned
Aug 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Felicia Young-Williams
Title
Pharmacy Technician
Phone
(281) 969-5901

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

2448 S Main St
Stafford, TX 77477-5522

Mailing address

2448 S Main St
Stafford, TX 77477-5522
Phone (281) 969-5901

National Provider Directory

National Provider Directory
Tax ID family
Stafford Pharmacy DME 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

2448 S Main St
Stafford, TX 77477
Phone (281) 969-5901

NPI Registry JSON

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

{
    "created_epoch": "1723248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1831920966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 S MAIN ST",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775522",
            "telephone_number": "281-969-5901",
            "fax_number": "832-539-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 S MAIN ST",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775522",
            "telephone_number": "281-969-5901",
            "fax_number": "832-539-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFORD PHARMACY & DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-10",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "YOUNG-WILLIAMS",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "PHARMACY TECHNICIAN",
        "authorized_official_telephone_number": "281-969-5901"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.