Provider Demographics
NPI:1083963060
Name:BC PHARMACY INC
Entity Type:Organization
Organization Name:BC PHARMACY INC
Other - Org Name:BC PHARMACY INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:IHEOMA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIKWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-334-5695
Mailing Address - Street 1:14030 TELGE RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-6200
Mailing Address - Country:US
Mailing Address - Phone:832-334-5695
Mailing Address - Fax:
Practice Address - Street 1:14030 TELGE RD STE E
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-6201
Practice Address - Country:US
Practice Address - Phone:832-334-5695
Practice Address - Fax:832-334-5903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-05
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX282223336C0003X
3336C0003X, 3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5906841OtherNCPDP PROVIDER IDENTIFICATION NUMBER
5906841OtherNPI
TX149317Medicaid