Organization Active NPI

Prime PHC Inc

Doing business as Prime Pharmacy

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1902911944
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
20643 Issued in TX
Legal business name
PRIME PHC INC
Doing business as
Prime Pharmacy
Practice address
477 W Parker Rd
Houston, TX 77091-3202
Phone
(713) 696-9977
Fax
(713) 696-9988
NPI assigned
Aug 20, 2006
Last updated
Feb 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Authorized official

Name
Chul Choi
Title
Pic
Phone
(713) 696-9977

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 20643 TX Primary

Addresses

Primary practice location

477 W Parker Rd
Houston, TX 77091-3202

Mailing address

477 W Parker Rd
Houston, TX 77091-3202

Other identifiers 2

IdentifierTypeStateIssuer
145025MedicaidTX
4517201OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • PRIME PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

477 W Parker Rd
Houston, TX 77091
Phone (713) 696-9977

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1902911944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 W PARKER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770913202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 W PARKER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770913202",
            "telephone_number": "713-696-9977",
            "fax_number": "713-696-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME PHC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "CHUL",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "713-696-9977"
    },
    "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": "20643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145025",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4517201",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIME 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 Feb 2, 2009; 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.