Southern Tier Home Infusion Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28689 Issued in TX

Legal business name

SOUTHERN TIER HOME INFUSION INC

Doing business as

Pharmacy Innovations

Practice address

11301 Richmond Ave Ste K101
Houston, TX 77082-5550

Phone

(281) 497-5214

Fax

(281) 497-5215

NPI assigned

Nov 25, 2008

Organization subpart

No

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

Authorized official

Name

Richard Moon

Title

President/Owner

Phone

(716) 720-5121

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Pharmacy Innovations Doing business as

Tax ID family

Pharmacy Innovations3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Southern Tier Infusion Inc

  dba Pharmacy Innovations

  • Community/Retail Pharmacy
  • Spring, TX
  • NPI 1245386689
  NPD tax ID
• Southern Tier Home Infusion Inc

  dba Pharmacy Innovations

  • Community/Retail Pharmacy
  • Erie, PA
  • NPI 1629297718
  NPD tax ID

Locations

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1891940391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 JOHNS PL",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147019210",
            "telephone_number": "716-720-5121",
            "fax_number": "716-708-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 RICHMOND AVE STE K101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770825550",
            "telephone_number": "281-497-5214",
            "fax_number": "281-497-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN TIER HOME INFUSION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "716-720-5121"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "28689",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143155",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmacy Innovations",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pharmacy Innovations",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Houston, TX
• Providers in Houston, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.