REVIVE RX LLC (NPI# 1437600392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437600392 |
Entity Type | Organization |
Organization Name | REVIVE RX LLC |
Practice Address |
2000 Edwards St Ste B-110 Houston TX 77007-4442 |
Mailing Address |
2000 Edwards St Suite: B-110 Houston TX 77007-4442 |
Practice Telephone | 8886892271 |
Practice Fax Number | 8886891620 |
Mailing Telephone | 8886892271 |
Mailing Fax Number | 8886891620 |
Enumeration Date | 2016-10-17 |
Last Update Date | 2017-02-27 |
Authorized Official Name | AARON SCHNEIDER (PHARMACIST IN CHARGE) |
Authorized Official Telephone | 8886892271 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
30984 | TX | Suppliers |
N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
2016042826 | MO | Suppliers |
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
30363 | FL | Suppliers |
N | 333600000X | Pharmacy | OSP.0006854 | CO | Suppliers |
Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Y006974 | AZ | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2168005 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285189076 | Revive Rx LLC | Pharmacy | 2000 Edwards St, B-110, Houston, TX 77007-4442 | 2016-08-22 |
Street Address |
2000 EDWARDS ST STE B-110 |
City | HOUSTON |
State | TX |
Zip Code | 77007-4442 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679197248 | Courtney Dee Dowdy | Counselor | 1111 Durham Drive, Apt 408, Houston, TX 77007 | 2020-05-29 |
1043867567 | Susan Kamfar | Counselor | 5252 Katy Freeway Suite 103, Houston, TX 77007 | 2019-08-20 |
1669035333 | H-e-b, Lp | Clinical Medical Laboratory | 3663 Washington Ave Suite 100, Houston, TX 77007 | 2019-04-18 |
1720561004 | City of Houston | Optometrist | 170 Heights Blvd, Houston, TX 77007 | 2018-09-12 |
1598245805 | Cuevas Diagnostic LLC | Pain Medicine | 4710 Katy Freeway, Houston, TX 77007 | 2018-08-16 |
1346738861 | Kirsti Reese | Counselor | 5151 Katy Fwy Ste 314, Houston, TX 77007 | 2018-04-30 |
1265981260 | Sara Shideler | Social Worker | 1502 Sawyer St Ste 139, Houston, TX 77007 | 2016-10-02 |
1639626955 | Kevin Lin | Dentist | 5743 Kiam St Unit E, Houston, TX 77007 | 2016-09-02 |
1093261893 | Julianne Piazza | Chiropractor | 4802 Washington Ave., Houston, TX 77007 | 2016-08-31 |
1174079495 | Janna Nickles | Licensed Vocational Nurse | 1213 Durham Drive, Houston, TX 77007 | 2016-08-28 |
Find all providers in zip 77007 |
Taxonomy Code | 3336C0004X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Compounding Pharmacy |
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
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1194359984 | Wells Pharma of Houston, LLC | Pharmacy | 9265 Kirby Dr, Houston, TX 77054-2520 | 2020-03-02 |
1386278406 | Texas Children's Hospital | Pharmacy | 1250 Moursund St Ste 825, Houston, TX 77030-3417 | 2020-02-27 |
1841750643 | Apteek Pllc | Pharmacy | 2900 Weslayan St Ste B&c, Houston, TX 77027-5132 | 2019-03-20 |
1437632387 | Tx Specialty Pharmacy, LLC | Pharmacy | 14511 Falling Creek Dr Ste 300, Houston, TX 77014-1280 | 2018-09-06 |
1396286886 | Veterinary Pharmacies of America | Pharmacy | 4802 N Sam Houston Pkwy W Ste 100, Houston, TX 77086-1539 | 2017-03-16 |
1609324292 | Rxmeds LLC | Pharmacy | 12320 Bellaire Blvd, Suite A-1b, Houston, TX 77072-2265 | 2016-09-13 |
1164887162 | Nanobots Healthcare LLC | Pharmacy | 2626 S Loop W Ste 555, Houston, TX 77054-2652 | 2015-12-18 |
1467824599 | Cedra Pharmacy Houston LLC | Pharmacy | 1607 S Post Oak Ln, Houston, TX 77056-2807 | 2015-10-28 |
1144589847 | Td Pharmacy | Pharmacy | 12319 Bellaire Blvd Ste 400, Houston, TX 77072-2590 | 2012-05-15 |
1134490840 | Tricare Pharmacy LLC | Pharmacy | 5225 Katy Fwy Ste 101a, Houston, TX 77007-2292 | 2012-01-26 |
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.