PCP Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

27443 Issued in TX

Legal business name

PCP PHARMACY LLC

Practice address

5108 Fairmont Pkwy Ste a
Pasadena, TX 77505-3756

Phone

(281) 991-1300

NPI assigned

Apr 22, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Cynthia Denise Nowlin

Title

Manager

Phone

(281) 991-1300

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• PremierCare Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1851682033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 FAIRMONT PKWY STE A",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053756",
            "telephone_number": "281-991-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5108 FAIRMONT PKWY STE A",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053756",
            "telephone_number": "281-991-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCP PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-22",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "NOWLIN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-991-1300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27443",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146450",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PremierCare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PremierCare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Savaira Patoli
• Deepak Pattanaik, MD
• Tina Faye Patterson, D.D.S
• Gardenia Garza Paul, LCSW
• PCP Associates of Pasadena PA
• Peak Performance Rehab & Wellness, LLC
• Peak Performance Spine & Sports Medicine
• Jordan Maris Peeler, OTR
• Asha Peeples, PMHNP-BC
• Marylou Pena

• Community/Retail Pharmacy in Pasadena, TX
• Providers in Pasadena, 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 Feb 6, 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.