Provider Demographics
NPI:1710694609
Name:WINDROSE RX, LLC
Entity type:Organization
Organization Name:WINDROSE RX, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:WENDELL
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENLEAF
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:832-559-1589
Mailing Address - Street 1:7717 LOUETTA RD UNIT 11334
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77391-4019
Mailing Address - Country:US
Mailing Address - Phone:832-559-1589
Mailing Address - Fax:
Practice Address - Street 1:20423 KUYKENDAHL RD STE 500
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-3493
Practice Address - Country:US
Practice Address - Phone:832-559-1589
Practice Address - Fax:832-559-1589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-01
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No1835X0200XPharmacy Service ProvidersPharmacistOncologyGroup - Multi-Specialty
No183700000XPharmacy Service ProvidersPharmacy TechnicianGroup - Multi-Specialty
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy