Organization Active NPI

Ponderosa Pharmacy

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1881912509
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PONDEROSA PHARMACY
Practice address
1701 FM 1960 Rd W Ste M
Houston, TX 77090-3213
Phone
(281) 397-7001
Fax
(281) 397-8490
NPI assigned
May 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Michael Robert Blanz Jr.
Title
Owner
Phone
(832) 724-5091

Specialties & licenses 1

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

Addresses

Primary practice location

1701 FM 1960 Rd W Ste M
Houston, TX 77090-3213

Mailing address

1701 FM 1960 Rd W Ste M
Houston, TX 77090-3213
Phone (281) 397-7001

National Provider Directory

National Provider Directory

Locations

1701 FM 1960 Rd W
Ste M
Houston, TX 77090
Phone (281) 397-7001

NPI Registry JSON

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1881912509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 FM 1960 RD W STE M",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903213",
            "telephone_number": "281-397-7001",
            "fax_number": "281-397-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 FM 1960 RD W STE M",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903213",
            "telephone_number": "281-397-7001",
            "fax_number": "281-397-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONDEROSA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BLANZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-724-5091",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 21, 2022; 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.