Active NPI
Nikorxpharmacy
- Community/Retail Pharmacy
- South Houston, TX
National Provider Identifier
1902233257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28818
- Legal business name
- NIKORXPHARMACY
- Doing business as
- Nikorxpharmacy
- Practice address
- 207 Winton St
South Houston, TX 77587-3433 - Phone
- (713) 510-5434
- NPI assigned
- Oct 2, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Macy Pena
- Title
- Owner
- Phone
- (832) 314-0810
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 28818 | TX | Primary |
| Mail Order Pharmacy | 3336M0002X |
Addresses
Primary practice location
207 Winton St
South Houston, TX 77587-3433
Mailing address
207 Winton St
South Houston, TX 77587-3433
Phone (713) 510-5434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2140905 | Other | PK |
Other names 1
- Nikorxpharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Duck'S Medical Supply
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Houston, TX
- NPI 1538527312
Locations
207 Winton St
South Houston, TX 77587
Phone (713) 510-5434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380672000000",
"number": "1902233257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 WINTON ST",
"city": "SOUTH HOUSTON",
"state": "TX",
"postal_code": "775873433",
"telephone_number": "713-510-5434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 WINTON ST",
"city": "SOUTH HOUSTON",
"state": "TX",
"postal_code": "775873433",
"telephone_number": "713-510-5434"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NIKORXPHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-02",
"last_updated": "2013-10-02",
"status": "A",
"authorized_official_last_name": "PENA",
"authorized_official_first_name": "MACY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "832-314-0810"
},
"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": "28818",
"primary": true
},
{
"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": "2140905",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Nikorxpharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in South Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.