Organization Active NPI

Health Corner Pharmacy LLC

  • Community/Retail Pharmacy
  • Fulshear, TX
National Provider Identifier
1881296366
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HEALTH CORNER PHARMACY LLC
Practice address
30417 5TH St Ste C
Fulshear, TX 77441-2508
Phone
(281) 346-8743
NPI assigned
Nov 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Authorized official

Name
Ms. Averil Broussard-SylveNPI 1003014408
Title
Officer
Phone
(281) 346-8743

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

30417 5TH St Ste C
Fulshear, TX 77441-2508

Mailing address

30417 5TH St Ste C
Fulshear, TX 77441-2508
Phone (281) 346-8743

Other names 1

  • HEALTH CORNER PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

30417 5th St
Ste C
Fulshear, TX 77441
Phone (281) 346-8743

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1881296366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30417 5TH ST STE C",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774412508",
            "telephone_number": "281-346-8743",
            "fax_number": "346-707-8125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30417 5TH ST STE C",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774412508",
            "telephone_number": "281-346-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CORNER PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "BROUSSARD-SYLVE",
        "authorized_official_first_name": "AVERIL",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "281-346-8743",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTH CORNER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fulshear, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.