Organization Active NPI

Upshaw Pharmacy

  • Community/Retail Pharmacy
  • Missouri City, TX
National Provider Identifier
1972854065
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28206 Issued in TX
Legal business name
UPSHAW PHARMACY
Practice address
7125 W Fuqua Dr
Missouri City, TX 77489-2451
Phone
(281) 416-9123
Fax
(281) 416-9129
NPI assigned
Sep 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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

Authorized official

Name
Oluchie Ohanaka
Title
Pharmacist
Phone
(281) 416-9123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28206 TX Primary

Addresses

Primary practice location

7125 W Fuqua Dr
Missouri City, TX 77489-2451

Mailing address

7125 W Fuqua Dr
Missouri City, TX 77489-2451
Phone (281) 416-9123

Other identifiers 1

IdentifierTypeStateIssuer
5907069OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Upshaw Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348790400000",
    "number": "1972854065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 W FUQUA DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774892451",
            "telephone_number": "281-416-9123",
            "fax_number": "281-416-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 W FUQUA DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774892451",
            "telephone_number": "281-416-9123",
            "fax_number": "281-416-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSHAW PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-28",
        "last_updated": "2012-09-28",
        "status": "A",
        "authorized_official_last_name": "OHANAKA",
        "authorized_official_first_name": "OLUCHIE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "281-416-9123"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "28206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5907069",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upshaw Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.