Provider Demographics
NPI:1518288836
Name:O NA K PHARMACY INC
Entity Type:Organization
Organization Name:O NA K PHARMACY INC
Other - Org Name:O NA K PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BILLY
Authorized Official - Middle Name:
Authorized Official - Last Name:AKUNNA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:832-968-4044
Mailing Address - Street 1:702 W SAM HOUSTON PKWY S
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-1594
Mailing Address - Country:US
Mailing Address - Phone:832-968-4044
Mailing Address - Fax:832-834-7314
Practice Address - Street 1:702 W SAM HOUSTON PKWY S STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-1587
Practice Address - Country:US
Practice Address - Phone:832-968-4044
Practice Address - Fax:832-834-7314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-21
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X
TX273093336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2128866OtherPK