MEMORIAL HERMANN PHARMACY SERVICES LLC NPI 1174040612

NPI Information

NPI: 1174040612
Provider Name: MEMORIAL HERMANN PHARMACY SERVICES LLC
Classification: Pharmacy - 333600000X
Entity Type: Organization
CLIA Number: 45D2330291
Address: 21501 PARK ROW DR STE 200
KATY, TX
ZIP 77449
Phone: (281) 698-6100

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NPI Details

MEMORIAL HERMANN PHARMACY SERVICES LLC is a pharmacy in Katy, TX. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. MEMORIAL HERMANN PHARMACY SERVICES LLC NPI is 1174040612. The provider is registered as an organization entity type.

The provider's business location address is:

21501 PARK ROW DR STE 200
KATY, TX
ZIP 77449-425
Phone: (281) 698-6100
Fax: (281) 698-6115

The provider's authorized official is Charmaine A Ferguson .
The authorized official title is Vp Risk Mgmt. & Litigation and has the following contact phone number (713) 242-4456.

The CLIA number assigned to this NPI record is 45D2330291 - other - diagnostic imaging with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/25/2017 and was last updated on 3/26/2025.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition			No
3	333600000X	Pharmacy		31545	TEXAS	Yes
4	3336H0001X	Pharmacy	Home Infusion Therapy Pharmacy			No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	31545	OTHER	TEXAS	TX PHARMACY LICENSE

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: 11/21/2025

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