Redi-Med Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

26868 Issued in TX

Legal business name

REDI-MED PHARMACY LLC

Practice address

1520 Holland St
Jacinto City, TX 77029-2848

Phone

(281) 428-1212

Fax

(281) 428-1244

NPI assigned

May 5, 2010

Organization subpart

No

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

Authorized official

Name

Sharie Andrada

Title

Owner

Phone

(713) 428-1212

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Redi-Med Pharmacy LLC Doing business as

Locations

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320624000000",
    "number": "1962720656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 HOLLAND ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770292848",
            "telephone_number": "281-428-1212",
            "fax_number": "281-428-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 HOLLAND ST",
            "city": "JACINTO CITY",
            "state": "TX",
            "postal_code": "770292848",
            "telephone_number": "281-428-1212",
            "fax_number": "281-428-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDI-MED PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2011-11-07",
        "status": "A",
        "authorized_official_last_name": "ANDRADA",
        "authorized_official_first_name": "SHARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-428-1212"
    },
    "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": "26868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5900130",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redi-Med Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Jacinto City, TX
• Providers in Jacinto City, 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 7, 2011; 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.