Jersey Village Pharmacy-Compounding

LBN: Jersey Village Pharmacy Llc
Jersey Village Pharmacy-Compounding is an health care organization with primary practice located at 17400 Highway 290 Ste 400 , Jersey Village TX 77040-1002. The organization recently has 6 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Jersey Village Pharmacy Llc can be contacted via phone (281) 416-5800, or through Coon, Christine via phone (713) 885-2039.

Contact Information

Primary practice address
17400 Highway 290 Ste 400 Jersey Village TX 77040-1002
Phone: (281) 416-5800
Fax: (281) 416-5814
Website:
Map and Directions
Authorized official contact:
Name: Coon, Christine
Phone: (713) 885-2039

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X 28723 Texas
Suppliers / Mail Order Pharmacy 3336M0002X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1396172128
LBN Legal business name Jersey Village Pharmacy Llc
DBA Doing business as Jersey Village Pharmacy-Compounding
Authorized official Coon, Christine
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2013
Last updated Oct 26th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396172128 NPPES
Other 2142464 PK

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