Organization Active NPI

I-10 Atrium Pharmacy Inc

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1861636243
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
26304 Issued in TX
Legal business name
I-10 ATRIUM PHARMACY INC
Practice address
11821 East Fwy
Ste 300
Houston, TX 77029-1975
Phone
(713) 453-8000
Fax
(713) 453-8001
NPI assigned
Apr 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Authorized official

Name
Edith Bautista
Title
Owner
Phone
(713) 382-8049

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 26304 TX Primary

Addresses

Primary practice location

11821 East Fwy
Ste 300
Houston, TX 77029-1975

Mailing address

8014 Tomahawk TRL
Houston, TX 77050-5012
Phone (713) 382-8049

Other identifiers 1

IdentifierTypeStateIssuer
4551948OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • I-10 Atrium Pharmacy Inc Doing business as

National Provider Directory

National Provider Directory

Locations

11821 East Fwy
Ste 300
Houston, TX 77029
Phone (713) 453-6773

NPI Registry JSON

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1861636243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8014 TOMAHAWK TRL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770505012",
            "telephone_number": "713-382-8049",
            "fax_number": "281-454-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11821 EAST FWY",
            "address_2": "STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770291975",
            "telephone_number": "713-453-8000",
            "fax_number": "713-453-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I-10 ATRIUM PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "EDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-382-8049"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4551948",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I-10 Atrium Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.