Genesis Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

25156 Issued in TX

Legal business name

GENESIS PHARMACY INC

Practice address

1611 Spencer Hwy Ste F
South Houston, TX 77587-3714

Phone

(832) 925-8797

Fax

(832) 925-8782

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

John Hage, RPH

Title

Owner

Phone

(832) 925-8797

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• GENESIS DRUG INC Doing business as

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1922019413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 SPENCER HWY STE F",
            "city": "SOUTH HOUSTON",
            "state": "TX",
            "postal_code": "775873714",
            "telephone_number": "832-925-8797",
            "fax_number": "832-925-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 SPENCER HWY STE F",
            "city": "SOUTH HOUSTON",
            "state": "TX",
            "postal_code": "775873714",
            "telephone_number": "832-925-8797",
            "fax_number": "832-925-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "HAGE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-925-8797",
        "authorized_official_credential": "RPH"
    },
    "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": "25156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2099444",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148758",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GENESIS DRUG INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GENESIS DRUG INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in South Houston, TX
• Providers in South 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 Nov 8, 2018; 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.