PEP NIC & MIC LLC (NPI# 1669414231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669414231 |
| Entity Type | Organization |
| Organization Name | PEP NIC & MIC LLC |
| Other Organization Name | EASTSIDE PHARMACY |
| Practice Address |
8449 W Bellfort St Ste 130 Houston TX 77071-2245 |
| Mailing Address |
8204 Elmbrook Dr Suite 176 Dallas TX 75247-4067 |
| Practice Telephone | 7137711767 |
| Practice Fax Number | 7137711768 |
| Mailing Telephone | 7137711767 |
| Mailing Fax Number | 7137711768 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2009-08-27 |
| Authorized Official Name | PHILIP PARKER (MANAGER) |
| Authorized Official Telephone | 7137711767 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
24365 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4539500 | 01 | |
| TX | 145703 | 05 |
| Other Name | Type Code |
|---|---|
| Eastside Pharmacy | Doing Business As Name - Organization |
| Street Address |
8449 W BELLFORT ST STE 130 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77071-2245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194798058 | Charles W Thompson Iv | Physician Assistant | 8449 W Bellfort St, Ste 140-a, Houston, TX 77071 | 2006-02-10 |
| 1891167292 | On Board Transportation LLC | Non-emergency Medical Transport (VAN) | 8449 W Bellfort St, Ste. 354, Houston, TX 77071-2245 | 2015-10-24 |
| 1922409929 | Starlight Associates LLC | Non-emergency Medical Transport (VAN) | 8449 W Bellfort St, Suite 100, Houston, TX 77071-2245 | 2014-09-09 |
| 1194154682 | Comprehensive Foot Care, Inc | Podiatrist | 8449 W Bellfort St, Suite 285, Houston, TX 77071-2245 | 2013-11-05 |
| 1144662586 | Lisa F San Miguel | Social Worker | 8449 W Bellfort St, Suite 285, Houston, TX 77071-2245 | 2013-07-26 |
| 1467895466 | Comprehensive Foot Care Inc. | Podiatrist | 8449 W Bellfort St, 285, Houston, TX 77071-2245 | 2013-04-10 |
| 1306180005 | Tig Health Care & Diagnostic Clinic | Clinic/Center | 8449 W Bellfort St, 330, Houston, TX 77071-2245 | 2012-11-19 |
| 1639421241 | Expressmeds Pharmacy LLC | Pharmacy | 8449 W Bellfort St, Ste. 199, Houston, TX 77071-2245 | 2012-10-05 |
| 1326328592 | Qaveni Holding LLC | In Home Supportive Care | 8449 W Bellfort St, Suite 285, Houston, TX 77071-2245 | 2011-08-19 |
| 1205127073 | Breakthrough International Ministries Church Bimc Inc | Assisted Living Facility | 8449 W Bellfort St, Suite 328, Houston, TX 77071-2245 | 2011-04-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350104 | Elora Healthcare Services LLC Inc | Home Health | 12631 Miriam Ln, Houston, TX 77071 | 2020-09-09 |
| 1275198442 | Cleo Majette Merriweather | Specialist | 11902 S. Gessner Road, Suite 25, Houston, TX 77071 | 2019-05-03 |
| 1225511561 | Talat Khan | Licensed Vocational Nurse | 11100 Braesridge Dr, #903, Houston, TX 77071 | 2018-09-12 |
| 1831576883 | Multi-service Healthcare Incorporated | Home Health | 7700 West Airport Blvd, Suite 1202, Houston, TX 77071 | 2015-04-29 |
| 1740689546 | Texanna Hcs Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12006 Merewood, Houston, TX 77071 | 2014-08-18 |
| 1790190908 | Neil Michael Bealka IIi | Dentist | 8805 S Braeswood Blvd B, Houston, TX 77071 | 2014-06-25 |
| 1467871988 | Duy Minh Tran | Internal Medicine | 7603 Rollingbrook Dr, Houston, TX 77071 | 2014-04-11 |
| 1982048260 | Chinedu I Nwankwo | Family Medicine | 12435 N Rachlin Cir, Houston, TX 77071 | 2013-04-17 |
| 1790076503 | Ophelia Marie Williams | Pharmacy Technician | 11100 Braesridge #1829, Houston, TX 77071 | 2011-04-27 |
| 1003136029 | West Belfort Family Practice | Counselor | 8449 W Belfort, 220, Houston, TX 77071 | 2010-06-02 |
| Find all providers in zip 77071 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| 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: new] |
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| 1629679410 | Duehan Tran Ngo | Pharmacy | 403 W Sam Houston Pkwy N, Houston, TX 77024-4736 | 2020-11-06 |
| 1356942767 | Rxassist Pharmacy, Inc. | Pharmacy | 17020 Beaver Springs Dr Ste 8, Houston, TX 77090-2398 | 2020-11-03 |
| 1861091977 | A Medizona Pharmacy | Pharmacy | 3700 Barker Cypress Rd, Suite 700, Houston, TX 77084 | 2020-10-20 |
| 1194324277 | Rite Scripts Pharmacy Inc | Pharmacy | 13835 Westhollow Park Dr Apt 2805, Houston, TX 77082-1885 | 2020-10-20 |
| 1538766019 | Hpb Pharmacy | Pharmacy | 6410 Fannin St Ste 116, Houston, TX 77030-3006 | 2020-10-07 |
| 1811594823 | Taha Pharmacy | Pharmacy | 1383 Bunker Hill Rd, 101, Houston, TX 77055 | 2020-10-02 |
| 1346857471 | Tulson Pharmacy, LLC | Pharmacy | 3235 Holman St, Houston, TX 77004-3541 | 2020-09-23 |
| 1487260998 | L K & E Management Inc | Pharmacy | 8880 Bellaire Blvd Ste B2, Houston, TX 77036-4621 | 2020-09-20 |
| 1235744459 | Royal Nandina Inc | Pharmacy | 11970 Wilcrest Dr # 105a, Houston, TX 77031-1923 | 2020-09-14 |
| 1386256816 | The Queen LLC | Pharmacy | 2600 S Loop W Ste 435a, Houston, TX 77054-2653 | 2020-08-17 |
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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.