Pennys Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PENNYS PHARMACY

Practice address

3517 N Main St
Baytown, TX 77521-4117

Phone

(281) 837-2122

Fax

(281) 837-2144

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Paul Mason Penny, RPH

Title

Owner

Phone

(281) 837-2122

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1902918816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3517 N MAIN ST",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775214117",
            "telephone_number": "281-837-2122",
            "fax_number": "281-837-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3517 N MAIN ST",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775214117",
            "telephone_number": "281-837-2122",
            "fax_number": "281-837-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNYS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "PENNY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "MASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-837-2122",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "22062",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145293",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4524220",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; 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.