Provider Demographics
NPI:1669774097
Name:CARE PLUS PHARMACY
Entity type:Organization
Organization Name:CARE PLUS PHARMACY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:TASEER
Authorized Official - Middle Name:
Authorized Official - Last Name:BADAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-778-1773
Mailing Address - Street 1:10301 CLUB CREEK DR
Mailing Address - Street 2:SUITE # I
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-7151
Mailing Address - Country:US
Mailing Address - Phone:713-778-1773
Mailing Address - Fax:713-778-1779
Practice Address - Street 1:10301 CLUB CREEK DR
Practice Address - Street 2:SUITE # I
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-7151
Practice Address - Country:US
Practice Address - Phone:713-778-1773
Practice Address - Fax:713-778-1779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-17
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X, 3336C0004X
TX272333336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX146295Medicaid
2127614OtherPK