Provider Demographics
NPI:1528546009
Name:MEDSCAPE PHARMACY
Entity Type:Organization
Organization Name:MEDSCAPE PHARMACY
Other - Org Name:MEDSCAPE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALMA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BANKS-BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-239-2368
Mailing Address - Street 1:5700 NW CENTRAL DR # 205
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-2039
Mailing Address - Country:US
Mailing Address - Phone:713-239-2368
Mailing Address - Fax:346-980-8749
Practice Address - Street 1:5700 NW CENTRAL DR # 205
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-2039
Practice Address - Country:US
Practice Address - Phone:713-239-2368
Practice Address - Fax:346-980-8749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-06
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX357213336C0003X
3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy