7400 Fannin, Inc.

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

15768 Issued in TX

Legal business name

7400 FANNIN, INC.

Practice address

7400 Fannin St
Suite 120
Houston, TX 77054-1920

Phone

(713) 795-4111

Fax

(713) 797-1237

NPI assigned

Sep 2, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Bruce Marshall, MS RPH

Title

Pharmacist in Charge

Phone

(713) 795-4111

Specialties & licenses 1

Addresses

Other names 1

• One Fannin Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891789913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 FANNIN ST",
            "address_2": "SUITE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541920",
            "telephone_number": "713-795-4111",
            "fax_number": "713-797-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 FANNIN ST",
            "address_2": "SUITE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541920",
            "telephone_number": "713-795-4111",
            "fax_number": "713-797-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "7400 FANNIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "713-795-4111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS RPH"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "TX",
            "license": "15768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Fannin Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Health Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Community Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.