Daystar Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

14613 Issued in TX

Legal business name

DAYSTAR PHARMACY INC

Doing business as

Day Star Pharmacy

Practice address

3926 Bahler Ave
Manvel, TX 77578-2823

Phone

(281) 489-9409

Fax

(281) 489-4035

NPI assigned

Dec 20, 2006

Last updated

Dec 11, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lauren McCreary, BS IN PHARMACY

Title

Pic

Phone

(281) 489-9409

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• DAY STAR PHARMACY Doing business as

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1861556458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775660307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3926 BAHLER AVE",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775782823",
            "telephone_number": "281-489-9409",
            "fax_number": "281-489-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYSTAR PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "MCCREARY",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "281-489-9409",
        "authorized_official_credential": "BS IN PHARMACY"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "14613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4584226",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "350012",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAY STAR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Manvel, TX
• Providers in Manvel, TX by specialty
• Long Term Care Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; 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.