NPI 1154608933 · live from the CMS NPI Registry
1960 Family Practice PA
Pharmacy, Community/Retail Pharmacy in Houston, TX. National Provider Identifier 1154608933, active.
NPI record
| NPI | 1154608933 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 837 Cypress Creek Pkwy Ste 105a, Houston, TX 77090 |
| Practice phone | 281-453-7205 |
| Mailing address | 20320 Northwest Fwy Ste 900, Jersey Village, TX 77065 |
| Enumerated | November 8, 2011 |
| Last updated | July 28, 2015 |
| Authorized official | Marcia Smith, Pic |
| Other names | Express Specialty Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | 27730 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.