Organization Active NPI

Waller RX Pharmacy, PLLC

  • Community/Retail Pharmacy
  • Waller, TX
National Provider Identifier
1841006111
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WALLER RX PHARMACY, PLLC
Practice address
31303 FM 2920 Rd Ste H
Waller, TX 77484-8196
Phone
(713) 725-2211
NPI assigned
Dec 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Dr. Junious Keith Powell, PHARMDNPI 1629365796
Title
Owner/Pic
Phone
(713) 725-2211

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

31303 FM 2920 Rd Ste H
Waller, TX 77484-8196

Mailing address

31303 FM 2920 Rd Ste H
Waller, TX 77484-8196
Phone (713) 725-2211

National Provider Directory

National Provider Directory

Locations

31303 FM 2920 Rd
Ste H
Waller, TX 77484
Phone (713) 725-2211

Practitioners & affiliated clinicians

Practitioners 1

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": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1841006111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31303 FM 2920 RD STE H",
            "city": "WALLER",
            "state": "TX",
            "postal_code": "774848196",
            "telephone_number": "713-725-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31303 FM 2920 RD STE H",
            "city": "WALLER",
            "state": "TX",
            "postal_code": "774848196",
            "telephone_number": "713-725-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLER RX PHARMACY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "JUNIOUS",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "713-725-2211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.