Provider Demographics
NPI:1669847455
Name:OUR PHARMACY LLC
Entity Type:Organization
Organization Name:OUR PHARMACY LLC
Other - Org Name:OUR PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:NNOCHIRIONYE
Authorized Official - Middle Name:
Authorized Official - Last Name:OJIRIKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-299-6802
Mailing Address - Street 1:5020 LOUETTA RD STE 150A
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-8126
Mailing Address - Country:US
Mailing Address - Phone:832-299-6802
Mailing Address - Fax:832-998-8229
Practice Address - Street 1:5020 LOUETTA RD STE 150A
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-8126
Practice Address - Country:US
Practice Address - Phone:832-299-6802
Practice Address - Fax:832-998-8229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-06
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TX303673336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX148053Medicaid
2155857OtherPK
2155857OtherPK