Provider Demographics
NPI:1518285212
Name:CHALLENGE CARE PHARMACY
Entity Type:Organization
Organization Name:CHALLENGE CARE PHARMACY
Other - Org Name:VITAL CARE OF N HOUSTON
Other - Org Type:Other Name
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:MRS
Authorized Official - First Name:AROOJ
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-487-9746
Mailing Address - Street 1:6105 BEVERLYHILL ST STE 200
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-6716
Mailing Address - Country:US
Mailing Address - Phone:832-487-9746
Mailing Address - Fax:832-487-9753
Practice Address - Street 1:6105 BEVERLYHILL ST STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-6716
Practice Address - Country:US
Practice Address - Phone:832-487-9746
Practice Address - Fax:832-487-9753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-06
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251F00000X, 332B00000X, 332BP3500X, 332BX2000X, 3336H0001X
TX269143336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No251F00000XAgenciesHome Infusion
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX146166OtherMCAID PHARMACY
TX3394132Medicaid
TX6794530001Medicare NSC