NPIMap

Organization Active NPI

Advance Pharmacy LLC

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1962771733
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28994 Issued in TX
Legal business name
ADVANCE PHARMACY LLC
Practice address
2646 S Loop W Ste 330
Houston, TX 77054-2773
Phone
(713) 661-5711
Fax
(713) 661-5797
NPI assigned
Dec 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Authorized official

Name
Shalondria Simpson
Title
Owner
Phone
(713) 661-5711

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28994 TX Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

2646 S Loop W Ste 330
Houston, TX 77054-2773

Mailing address

2646 S Loop W
Suite 330
Houston, TX 77054-2665
Phone (713) 661-5711

Other identifiers 1

IdentifierTypeStateIssuer
2148430OtherPK

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1962771733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2646 S LOOP W",
            "address_2": "SUITE 330",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542665",
            "telephone_number": "713-661-5711",
            "fax_number": "713-661-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 S LOOP W STE 330",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542773",
            "telephone_number": "713-661-5711",
            "fax_number": "713-661-5797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "SHALONDRIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-661-5711"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "28994",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148430",
            "state": null
        }
    ],
    "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 11, 2022; 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.