Provider Demographics
NPI:1457664781
Name:SIMMANS ENTERPRISES INC
Entity Type:Organization
Organization Name:SIMMANS ENTERPRISES INC
Other - Org Name:SIMMANS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-932-5747
Mailing Address - Street 1:1096 GLADSTONE DR
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-9086
Mailing Address - Country:US
Mailing Address - Phone:281-974-8517
Mailing Address - Fax:
Practice Address - Street 1:16842 HIGHWAY 3
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-2112
Practice Address - Country:US
Practice Address - Phone:832-932-5747
Practice Address - Fax:832-932-5749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-15
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TX269033336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5900510OtherNCPDP PROVIDER IDENTIFICATION NUMBER