Active NPI
Econo Pharmacy
- Community/Retail Pharmacy
- Jersey Village, TX
National Provider Identifier
1972810141
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Oct 29, 2021.
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 27270
- Legal business name
- ECONO PHARMACY
- Practice address
- 20320 Northwest Fwy
Suite 300
Jersey Village, TX 77065-5641 - Phone
- (281) 890-5612
- Fax
- (281) 890-5630
- NPI assigned
- Sep 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Kohan
- Title
- Owner
- Phone
- (310) 922-0272
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 27270 | TX | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
20320 Northwest Fwy
Suite 300
Jersey Village, TX 77065-5641
Mailing address
1464 Beverwil Dr
Los Angeles, CA 90035-2909
Phone (281) 890-5612
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2126580 | Other | PK |
Other names 1
- Econo Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Tax ID family
- Econo Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Houston, TX
- NPI 1629490461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1449446400000",
"number": "1972810141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1464 BEVERWIL DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900352909",
"telephone_number": "281-890-5612",
"fax_number": "888-527-3487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20320 NORTHWEST FWY",
"address_2": "SUITE 300",
"city": "JERSEY VILLAGE",
"state": "TX",
"postal_code": "770655641",
"telephone_number": "281-890-5612",
"fax_number": "281-890-5630"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ECONO PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-08",
"last_updated": "2015-12-07",
"status": "A",
"authorized_official_last_name": "KOHAN",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-922-0272"
},
"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": "27270",
"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": "2126580",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Econo Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jersey Village, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.