Active NPI
Queensland Enterprises Incorporated
- Community/Retail Pharmacy
- Richmond, TX
National Provider Identifier
1962040436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- QUEENSLAND ENTERPRISES INCORPORATED
- Practice address
- 7909 W Grand Pkwy S Ste 215
Richmond, TX 77407-8648 - Phone
- (281) 762-7130
- Fax
- (713) 804-5046
- NPI assigned
- Dec 16, 2019
- Organization subpart
- Yes
- Parent organization
- QUEENSLAND ENTERPRISES INCORPORATED
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bernard Thompson
- Title
- Owner/Pic
- Phone
- (281) 762-7130
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Compounding Pharmacy | 3336C0004X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
7909 W Grand Pkwy S Ste 215
Richmond, TX 77407-8648
Mailing address
7909 W Grand Pkwy S Ste 215
Richmond, TX 77407-8648
Phone (281) 762-7130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150204 | Medicaid | TX |
Other names 1
- BAY CITY PHARMACY
National Provider Directory
National Provider Directory- Part of
- Queensland Enterprises Incorporated
Locations
7909 W Grand Pkwy S
Ste 215
Richmond, TX 77407
Phone (281) 762-7130
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Bay City, TX
- NPI 1962088948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684195200000",
"number": "1962040436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7909 W GRAND PKWY S STE 215",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774078648",
"telephone_number": "281-762-7130",
"fax_number": "713-804-5046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7909 W GRAND PKWY S STE 215",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774078648",
"telephone_number": "281-762-7130",
"fax_number": "713-804-5046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUEENSLAND ENTERPRISES INCORPORATED",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "QUEENSLAND ENTERPRISES INCORPORATED",
"enumeration_date": "2019-12-16",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "BERNARD",
"authorized_official_title_or_position": "OWNER/PIC",
"authorized_official_telephone_number": "281-762-7130"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "150204",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BAY CITY PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.