GENOVATIONS PHARMACY LLC (NPI# 1477954162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477954162 |
| Entity Type | Organization |
| Organization Name | GENOVATIONS PHARMACY LLC |
| Other Organization Name | GENOVATIONS PHARMACY LLC |
| Practice Address |
10301 Stella Link Rd Ste C Houston TX 77025-5447 |
| Practice Telephone | 8329410850 |
| Practice Fax Number | 8329410849 |
| Mailing Telephone | 8329410850 |
| Mailing Fax Number | 8329410849 |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2015-05-05 |
| Authorized Official Name | CLAUDIA KIM (PHARMACY OPERATIONS MANAGER) |
| Authorized Official Telephone | 8327010422 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
29959 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2151753 | 01 |
| Other Name | Type Code |
|---|---|
| Genovations Pharmacy LLC | Doing Business As Name - Organization |
| Street Address |
10301 STELLA LINK RD STE C |
| City | HOUSTON |
| State | TX |
| Zip Code | 77025-5447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528254174 | Claudia Kim | Pharmacist | 10301 Stella Link Rd Ste C, Houston, TX 77025-5447 | 2007-09-18 |
| 1821407123 | Companiondx Lab | Clinical Medical Laboratory | 10301 Stella Link Rd Ste C, Houston, TX 77025-5447 | 2014-08-12 |
| 1942619432 | Emily Stanley | Pharmacist | 10301 Stella Link Rd Ste C, Houston, TX 77025-5447 | 2014-08-08 |
| 1487063061 | Companiondx Reference Lab, LLC | Clinical Medical Laboratory | 10301 Stella Link Rd Ste C, Houston, TX 77025-5447 | 2014-08-07 |
| 1194139865 | Nisha Rajasekaran | Pharmacist | 10301 Stella Link Rd Ste C, Houston, TX 77025-5447 | 2014-06-20 |
| 1003180027 | Companion Dx Reference Lab, LLC | Clinical Medical Laboratory | 10301 Stella Link Rd Ste C, Houston, TX 77025-5447 | 2012-03-08 |
| 1891076261 | Jenny Peng Thongdara | Pharmacist | 10301 Stella Link Rd Ste C, Houston, TX 77025-5447 | 2011-08-30 |
| 1255643227 | Evan Lau | Pharmacist | 10301 Stella Link Rd Ste C, Houston, TX 77025-5447 | 2010-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949113 | Arrhythmia Care Center Pllc | Internal Medicine | 3501 Link Valley Drive Unit 305, Houston, TX 77025 | 2020-07-07 |
| 1760041578 | Beloved Dental Pllc | Dentist | 4130 Bellaire Blvd, Suite 214, Houston, TX 77025 | 2019-06-06 |
| 1245894294 | Gac Dental Pllc | Dentist | 9540 South Main St., Ste 100, Houston, TX 77025 | 2019-04-25 |
| 1255864930 | South Loop Dentistry, P.C. | Dentist | 3264 South Loop W., Houston, TX 77025 | 2017-04-10 |
| 1124489133 | Dominique Bernard Singleton | Social Worker | 7300 Brompton Street, Ap:5436, Houston, TX 77025 | 2016-03-18 |
| 1528493707 | Innerwisdom | Health Maintenance Organization | 13038 Bamboo Forest Trl, Houston, TX 77025 | 2013-09-06 |
| 1356686562 | Pulmonary Rx | Durable Medical Equipment & Medical Supplies | 10019 S. Main St., Suite A9-d, Houston, TX 77025 | 2012-11-29 |
| 1548512916 | Jason Thompson | Dentist | 3728 Main Poplar Dr, Houston, TX 77025 | 2012-10-10 |
| 1164772745 | Linda Freeman | Speech-Language Pathologist | 7300 Brompton, #6114, Houston, TX 77025 | 2012-09-11 |
| 1508115197 | Albert Edward Gunn | Internal Medicine | 3514 Glen Haven Boulevard, Houston, TX 77025 | 2012-08-29 |
| Find all providers in zip 77025 | ||||
| Taxonomy Code | 3336M0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Managed Care Organization Pharmacy |
| A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO’s covered members only. |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609224120 | Cf Health Services LLC | Pharmacy | 4203 Gardendale St Ste 223c, San Antonio, TX 78229-3177 | 2016-05-25 |
| 1538552195 | J and D Pharmacy Inc | Pharmacy | 12895 Josey Ln Ste 111, Farmers Branch, TX 75234-8300 | 2015-03-06 |
| 1992819882 | Q Pharmacy Inc | Pharmacy | 14100 Nacogdoches Rd, Ste 116, San Antonio, TX 78247-1903 | 2006-08-18 |
| 1740299775 | Department of State Health Services | Pharmacy | 1200 E Brin St, Terrell, TX 75160-2938 | 2006-08-07 |
Please comment or provide details below to improve the information on GENOVATIONS PHARMACY LLC.
| 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.