Active NPI
Lone Star Pharmacy
- Long Term Care Pharmacy
- Sugar Land, TX
National Provider Identifier
1871775833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 25784
- Legal business name
- LONE STAR PHARMACY
- Practice address
- 12615 W Airport Blvd
Ste 200
Sugar Land, TX 77478-6202 - Phone
- (281) 242-1798
- Fax
- (281) 242-2165
- NPI assigned
- Dec 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shane Lewis
- Title
- President
- Phone
- (972) 303-7500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | 25784 | TX | Primary |
Addresses
Primary practice location
12615 W Airport Blvd
Ste 200
Sugar Land, TX 77478-6202
Mailing address
1417 E Interstate 30
Ste 3
Garland, TX 75043-4786
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4546480 | Other | OTHER ID NUMBER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196812800000",
"number": "1871775833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1417 E INTERSTATE 30",
"address_2": "STE 3",
"city": "GARLAND",
"state": "TX",
"postal_code": "750434786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12615 W AIRPORT BLVD",
"address_2": "STE 200",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774786202",
"telephone_number": "281-242-1798",
"fax_number": "281-242-2165"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONE STAR PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-03",
"last_updated": "2007-12-05",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "SHANE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "972-303-7500"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "TX",
"license": "25784",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "4546480",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.