Provider Demographics
NPI:1790069516
Name:RX PHARMACY INCORPORATED
Entity Type:Organization
Organization Name:RX PHARMACY INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ASIM
Authorized Official - Middle Name:
Authorized Official - Last Name:JILANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-530-6900
Mailing Address - Street 1:5090 RICHMOND AVE
Mailing Address - Street 2:#495
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-7402
Mailing Address - Country:US
Mailing Address - Phone:713-530-6900
Mailing Address - Fax:
Practice Address - Street 1:5600 S WILLOW DR
Practice Address - Street 2:#113
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-4713
Practice Address - Country:US
Practice Address - Phone:713-723-4600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-29
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy