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EVEREST WALLISVILLE PHARMACY LLC NPI 1922773977


NPI Information

NPI: 1922773977
Provider Name: EVEREST WALLISVILLE PHARMACY LLC

Doing Business As: EVEREST PHARMACY & MEDICAL SUPPLY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 45D2191043

Address:
16344 WALLISVILLE ROAD STE 700
HOUSTON, TX
ZIP 77049
Phone: (346) 381-1110
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EVEREST WALLISVILLE PHARMACY 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. EVEREST WALLISVILLE PHARMACY LLC NPI is 1922773977. The provider is registered as an organization entity type.
The provider Is Doing Business As Everest Pharmacy & Medical Supply.

The provider's business location address is:

16344 WALLISVILLE ROAD STE 700
HOUSTON, TX
ZIP 77049
Phone: (346) 381-1110

The provider's authorized official is George Jacob .
The authorized official title is Officer and has the following contact phone number (346) 381-1110.

The CLIA number assigned to this NPI record is 45D2191043 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/11/2021 and was last updated on 3/8/2023.


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
13336C0003XPharmacyCommunity/Retail PharmacyYes

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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