NPIMap

Organization Active NPI

Pharm House Drug-Lavernia LLC

  • Community/Retail Pharmacy
  • La Vernia, TX
National Provider Identifier
1912400243
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
31895 Issued in TX
Legal business name
PHARM HOUSE DRUG-LAVERNIA LLC
Practice address
13857 US Highway 87 W
Suite 100
La Vernia, TX 78121-5919
Phone
(830) 779-2219
Fax
(830) 253-8908
NPI assigned
Mar 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Authorized official

Name
Joshua Moshe
Title
Owner/Member
Phone
(305) 203-9704

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 31895 TX Primary

Addresses

Primary practice location

13857 US Highway 87 W
Suite 100
La Vernia, TX 78121-5919

Mailing address

13857 US Hwy 87 W Ste 100
La Vernia, TX 78121
Phone (830) 779-2219

Other identifiers 1

IdentifierTypeStateIssuer
2176678OtherPK

Other names 2

  • PHARM HOUSE DRUG - LA VERNIA, LLC. Doing business as
  • Pharm House Drug - Lavernia, LLC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1912400243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13857 US HWY 87 W STE 100",
            "city": "LA VERNIA",
            "state": "TX",
            "postal_code": "78121",
            "telephone_number": "830-779-2219",
            "fax_number": "830-253-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13857 US HIGHWAY 87 W",
            "address_2": "SUITE 100",
            "city": "LA VERNIA",
            "state": "TX",
            "postal_code": "781215919",
            "telephone_number": "830-779-2219",
            "fax_number": "830-253-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARM HOUSE DRUG-LAVERNIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "MOSHE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "305-203-9704"
    },
    "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": "31895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176678",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARM HOUSE DRUG - LA VERNIA, LLC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PHARM HOUSE DRUG - LA VERNIA, LLC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pharm House Drug - Lavernia, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in La Vernia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.