Organization Active NPI

Lone Star Pharmacy

  • Long Term Care Pharmacy
  • Sugar Land, TX
National Provider Identifier
1871775833
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
25784 Issued in TX
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

Updated by the provider on Dec 5, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4546480OtherOTHER ID NUMBER

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.