TRICARE PHARMACY (NPI# 1184763740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184763740 |
| Entity Type | Organization |
| Organization Name | TRICARE PHARMACY |
| Practice Address |
6121 Hillcroft St Suite J Houston TX 77081-1002 |
| Mailing Address |
6121hillcroft Suite J Houston TX 77081-1002 |
| Practice Telephone | 7139955338 |
| Practice Fax Number | 7139955338 |
| Mailing Telephone | 7139955338 |
| Mailing Fax Number | 7139955338 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. SABRI WILSON SHATBY (OWNER, PIC) |
| Authorized Official Telephone | 7139955338 |
| Authorized Official Credential | B.PHARM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 19268 | TX | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 250458 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700044609 | Tricare Pharmacy | Pharmacy | 13237 Saticoy St, Suite 4, North Hollywood, CA 91605 | 2008-05-28 |
| Street Address |
6121 HILLCROFT ST SUITE J |
| City | HOUSTON |
| State | TX |
| Zip Code | 77081-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548357338 | Leon Foreman Jr. | Dentist | 6121 Hillcroft St, Ste P, Houston, TX 77081-1002 | 2006-10-05 |
| 1558816835 | Leon Xavier Foreman Dental Pllc | Dentist | 6121 Hillcroft St, Ste. P, Houston, TX 77081-1002 | 2016-08-17 |
| 1700216447 | United Rx, Inc. | Pharmacy | 6121 Hillcroft St, Suite K-2, Houston, TX 77081-1002 | 2013-11-16 |
| 1548501232 | Tild Inc | Pharmacy | 6121 Hillcroft St, Suite K2, Houston, TX 77081-1002 | 2013-03-06 |
| 1992069587 | Smci Pharmaceuticals LLC | Pharmacist | 6121 Hillcroft St, Suite K2, Houston, TX 77081-1002 | 2012-06-27 |
| 1750535563 | Jaime Alberto Gutierrez | Family Medicine | 6121 Hillcroft St, Suite O, Houston, TX 77081-1002 | 2008-11-06 |
| 1043389042 | Kamal Deka | Pediatrics | 6121 Hillcroft St, Suite J, Houston, TX 77081-1002 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518461961 | Ahmed Elakkad | Radiology | 5704 Edgemoor Dr Apt 90, Houston, TX 77081 | 2018-03-21 |
| 1518471804 | Leslie Marquez | Nurse Practitioner | 6121 Hillcroft St Ste O, Houston, TX 77081 | 2017-11-22 |
| 1841704236 | Erick Noel Montoya Roll | Specialist/Technologist, Other | 5760 Gulfton St Apt 1549, Houston, TX 77081 | 2017-11-22 |
| 1023537743 | Pro Med Rx | Pharmacy | 5716 Bellaire Bldv, Ste. J, Houston, TX 77081 | 2017-09-13 |
| 1831627918 | Ali Ahmed Abdelkhalek Baiomy | Radiology | 5704 Edgemoor Dr, Apt 84, Houston, TX 77081 | 2017-06-01 |
| 1033657002 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 5505 West Loop S Ste 100, Houston, TX 77081 | 2017-02-09 |
| 1982148854 | Greater Houston Psychiatric Associates | Psychologist | 4888 Loop Central Dr, Ste 510, Houston, TX 77081 | 2016-12-13 |
| 1184075657 | Kimble Elisabeth Chentnik | Optometrist | 6699 Chimney Rock, Suite 201, Houston, TX 77081 | 2016-06-27 |
| 1780042226 | Graves Community Health Clinic | Clinic/Center | 6910 Chetwood Dr. Ste. B, Houston, TX 77081 | 2016-01-28 |
| 1588058432 | Mi Rae Kim | Nurse Practitioner | 5420 Dashwood Dr Ste 100, Houston, TX 77081 | 2015-03-27 |
| Find all providers in zip 77081 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841849494 | Face To Face Healthcare Services LLC | Preferred Provider Organization | 2616 S Loop W Ste 300, Houston, TX 77054-2672 | 2019-09-06 |
| 1083187223 | Chinese Community Center, Inc. | Preferred Provider Organization | 9800 Town Park Dr, Houston, TX 77036-2316 | 2019-01-10 |
| 1013422492 | Cicero L Sadler | Preferred Provider Organization | 4001 San Jacinto St, Houston, TX 77004-4021 | 2017-12-07 |
| 1255866950 | Guardian of Angels Community Living | Preferred Provider Organization | 12703 Jones Rd, 1115, Houston, TX 77070-4676 | 2017-05-01 |
| 1356874622 | Urban Line LLC | Preferred Provider Organization | 2500 Woodland Park Dr Apt C304, Houston, TX 77077-2278 | 2017-04-04 |
| 1841741428 | Its In My Heart | Preferred Provider Organization | 6502 Nunn St, Houston, TX 77087-5932 | 2016-10-19 |
| 1134573264 | Forever Young Adult Care | Preferred Provider Organization | 12801 Roydon Dr. Apt 2215, Houston, TX 77034 | 2016-04-14 |
| 1740649532 | D & P Business Solutions | Preferred Provider Organization | 5816 Tidwell Rd, Houston, TX 77016-4744 | 2016-02-22 |
| 1952777401 | Physicians Aco, LLC | Preferred Provider Organization | 1900 North Loop W Ste 400, Houston, TX 77018-8119 | 2015-08-19 |
| 1619364593 | Silver Lining Acupuncture and Oriental Medicine, Pllc | Preferred Provider Organization | 2600 Gessner Rd Ste 275, Houston, TX 77080-3898 | 2015-04-18 |
| Find all providers in HOUSTON | ||||
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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.