Active NPI
Grant Siluangkhot
- Pharmacist
- Houston, TX
National Provider Identifier
1962082230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 37878
- Practice address
- 1415 California St Ste 110
Houston, TX 77006-2602 - Phone
- (713) 665-8800
- NPI assigned
- Apr 12, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 37878 | TX | Primary |
Addresses
Primary practice location
1415 California St Ste 110
Houston, TX 77006-2602
Mailing address
5919 Wickover LN
Houston, TX 77086-3423
Phone (281) 871-1013
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37878 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618185600000",
"number": "1962082230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5919 WICKOVER LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770863423",
"telephone_number": "281-871-1013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 CALIFORNIA ST STE 110",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770062602",
"telephone_number": "713-665-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILUANGKHOT",
"first_name": "GRANT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-12",
"last_updated": "2021-04-12",
"certification_date": "2021-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "37878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.