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GRAND PKWY PHCY AND MED SUPL LLC NPI 1487675450


NPI Information

NPI: 1487675450
Provider Name: GRAND PKWY PHCY AND MED SUPL LLC

Doing Business As: GRAND PARKWAY PHARMACY AND MEDICAL SUPPLY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
11965 BISSONNET ST
HOUSTON, TX
ZIP 77099
Phone: (281) 495-5777
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GRAND PKWY PHCY AND MED SUPL LLC is a community/retail pharmacy pharmacy in Houston, TX. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. GRAND PKWY PHCY AND MED SUPL LLC NPI is 1487675450. The provider is registered as an organization entity type.
The provider Is Doing Business As Grand Parkway Pharmacy And Medical Supply.

The provider's business location address is:

11965 BISSONNET ST
HOUSTON, TX
ZIP 77099-464
Phone: (281) 495-5777
Fax: (281) 495-5779

The provider's authorized official is Uchy Egbucheenam .
The authorized official title is Partner and has the following contact phone number (713) 724-2622.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 7/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail Pharmacy24979TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1145638MEDICAIDTEXAS
22098947OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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