Supreme Compounding LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

29521 Issued in TX

Legal business name

SUPREME COMPOUNDING LLC

Practice address

7346 Antoine Dr
Houston, TX 77088-7230

Phone

(281) 272-0813

NPI assigned

Oct 27, 2014

Organization subpart

No

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

Authorized official

Name

Shyamala Surada

Title

Pharmacist

Phone

(571) 230-2884

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Supreme Compounding Doing business as

Locations

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1952706558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7346 ANTOINE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770887230",
            "telephone_number": "281-272-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7346 ANTOINE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770887230",
            "telephone_number": "281-272-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME COMPOUNDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "SURADA",
        "authorized_official_first_name": "SHYAMALA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "571-230-2884"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148385",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Supreme Compounding",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Supreme Care ER LP
• Supreme Care Physician Group PLLC
• Supreme Chiropractic Clinic
• Supreme Choice Med Care LLC
• Supreme Choice Med Care, LLC
• Supreme Dentistry PLLC
• Supreme Health Care Inc
• Supreme Home Care, LLC.
• Supreme Medical Center LLC
• Supreme Nursing Services, Inc.

• Community/Retail Pharmacy in Houston, TX
• Providers in 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 Oct 27, 2014; 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.