Organization Active NPI

Phar-Miles Pharmacy LLC

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1891072880
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
27728 Issued in TX
Legal business name
PHAR-MILES PHARMACY LLC
Doing business as
PHAR-MILES PHARMACY
Practice address
16840 Buccaneer LN Ste P
Houston, TX 77058
Phone
(832) 410-8123
Fax
(832) 532-6129
NPI assigned
Nov 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Authorized official

Name
Charles Nguyen
Title
Pharmacist in Charge
Phone
(832) 810-4123

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 27728 TX Primary

Addresses

Primary practice location

16840 Buccaneer LN Ste P
Houston, TX 77058

Mailing address

16840 Buccaneer LN Ste P
Houston, TX 77058-2507
Phone (832) 410-8123

Other identifiers 2

IdentifierTypeStateIssuer
2167200OtherPK
146477MedicaidTX

Other names 1

  • PHAR-MILES PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

16840 Buccaneer Ln
Ste P
Houston, TX 77058
Phone (832) 410-8123

Practitioners & affiliated clinicians

Practitioners 1

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": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534118400000",
    "number": "1891072880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16840 BUCCANEER LN STE P",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582507",
            "telephone_number": "832-410-8123",
            "fax_number": "832-532-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16840 BUCCANEER LN STE P",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77058",
            "telephone_number": "832-410-8123",
            "fax_number": "832-532-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAR-MILES PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-04",
        "last_updated": "2018-08-13",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "832-810-4123"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2167200",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146477",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHAR-MILES PHARMACY",
            "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 Aug 13, 2018; 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.