MEDPLUS PHARMACY 3 (NPI# 1104485473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104485473 |
| Entity Type | Organization |
| Organization Name | MEDPLUS PHARMACY 3 |
| Practice Address |
5150 Crenshaw Rd Ste 9 Pasadena TX 77505-3094 |
| Mailing Address |
8609 Sudley Rd Ste 103b Manassas VA 20110-4500 |
| Practice Telephone | 2818008480 |
| Mailing Telephone | 2818008480 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | DR. HUSSAM AL-ATAT (CO-OWNER) |
| Authorized Official Telephone | 2026412221 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| medplus pharmacy | Doing Business As Name - Organization |
| Street Address |
5150 CRENSHAW RD STE 9 |
| City | PASADENA |
| State | TX |
| Zip Code | 77505-3094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545742 | Travis Jones | Pharmacist | 6767 Spencer Highway, Pasadena, TX 77505 | 2020-10-16 |
| 1952872905 | Bay Area Internal Medicine Care Pllc | Internal Medicine | Baywood Crossing Rehabilitation and Healthcare Center, 5020 Space Center Blvd., Pasadena, TX 77505 | 2018-12-16 |
| 1750851325 | Leslie Jackson | Nurse Practitioner | 7106 Spencer Highway, Pasadena, TX 77505 | 2018-11-27 |
| 1093297459 | Hieu Ngoc Minh Hutt | Occupational Therapy Assistant | 4900 East Sam Houston Pkwy S, Pasadena, TX 77505 | 2018-09-02 |
| 1780189142 | Basewave Properties, Pllc | Psychiatry & Neurology | 4808 Fairmont Pkwy, #404, Pasadena, TX 77505 | 2018-03-28 |
| 1720596141 | Lyanne Marlen Fernandez | Specialist/Technologist | 6565 Spencer Hwy Apt 1114, Pasadena, TX 77505 | 2018-01-19 |
| 1073069811 | Sng - Pasadena Dialysis Center Lp | Clinic/Center | 5040 Crenshaw Rd, Ste 200, Pasadena, TX 77505 | 2016-08-31 |
| 1235683418 | Sharon Li | Nurse Practitioner | 4001 Preston Rd #100, Pasadena, TX 77505 | 2016-08-05 |
| 1225493687 | Skkz, Inc. | Clinic/Center | 6415 Fairmont Pkwy, Ste A, Pasadena, TX 77505 | 2015-12-29 |
| 1982026530 | Aerocare Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 5041 Spencer Hwy, Suite 603, Pasadena, TX 77505 | 2014-01-16 |
| Find all providers in zip 77505 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891244430 | Precisionmeds Services Inc. | Pharmacy | 638 E Colorado Blvd, Suite 202, Pasadena, CA 91101-2006 | 2016-09-23 |
| 1174079701 | Cvs | Pharmacy | 3883 E. Foothill Blvd, Pasadena, CA 91107 | 2016-09-01 |
| 1447653787 | Community Health Alliance of Pasadena | Pharmacy | 1855 N Fair Oaks Ave Ste 100, Pasadena, CA 91103-1620 | 2014-10-01 |
| 1104166552 | Riviera Drugs LLC | Pharmacy | 8541 Fort Smallwood Rd, Unit G, Pasadena, MD 21122-2676 | 2013-02-21 |
| 1679863575 | Burke Family Pharmacy Inc | Pharmacy | 722 Fairmont Pkwy, Pasadena, TX 77504-2804 | 2011-04-12 |
| 1023328374 | O&w Interests LLC | Pharmacy | 3954 Spencer Hwy, Pasadena, TX 77504-1206 | 2010-10-19 |
| 1386717817 | Kroger Texas L P | Pharmacy | 3550 Spencer Hwy, Pasadena, TX 77504-1110 | 2006-11-15 |
| 1285707711 | Kroger Texas L P | Pharmacy | 2619 Red Bluff Rd, Pasadena, TX 77506-5270 | 2006-11-15 |
| 1336230010 | Diran B.bahadourian | Pharmacy | 1864 E Washington Blvd, Suite #105, Pasadena, CA 91104-1647 | 2006-09-27 |
| 1831299874 | 986 Specialty Pharmacy Pasadena Inc | Pharmacy | 1719 E. Walnut St., Pasadena, CA 91106-1611 | 2006-09-22 |
| Find all providers in PASADENA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.