Pharm-SC Partners LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

24357 Issued in TX

Legal business name

PHARM-SC PARTNERS LLC

Practice address

15255 Gulf Fwy
Suite 106 F
Houston, TX 77034-5365

Phone

(281) 481-5330

Fax

(281) 922-1198

NPI assigned

Jul 18, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jeffry Dobbs Cockerell

Title

Administrator

Phone

(281) 481-5330

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1962602060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15255 GULF FWY",
            "address_2": "SUITE 106 F",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770345365",
            "telephone_number": "281-481-5330",
            "fax_number": "281-922-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15255 GULF FWY",
            "address_2": "SUITE 106 F",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770345365",
            "telephone_number": "281-481-5330",
            "fax_number": "281-922-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARM-SC PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "COCKERELL",
        "authorized_official_first_name": "JEFFRY",
        "authorized_official_middle_name": "DOBBS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-481-5330",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "24357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145697",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.