Provider Demographics
NPI:1720383003
Name:HEALTHQUEST THERAPEUTICS LLC
Entity Type:Organization
Organization Name:HEALTHQUEST THERAPEUTICS LLC
Other - Org Name:HEALTHQUEST PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHAUKAT
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:ZAKARIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-706-3773
Mailing Address - Street 1:1311 W SAM HOUSTON PKWY N STE 105
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043-2052
Mailing Address - Country:US
Mailing Address - Phone:832-612-3500
Mailing Address - Fax:866-612-3437
Practice Address - Street 1:1311 W SAM HOUSTON PKWY N STE 105
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77043-2052
Practice Address - Country:US
Practice Address - Phone:832-222-0100
Practice Address - Fax:832-518-1029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-18
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX273343336C0003X, 3336C0003X, 3336C0003X
3336C0004X, 3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX146381Medicaid
2129925OtherPK