Provider Demographics
NPI:1801208665
Name:THE METHODIST HOSPITAL
Entity Type:Organization
Organization Name:THE METHODIST HOSPITAL
Other - Org Name:HOUSTON METHODIST PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:BOOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-441-4632
Mailing Address - Street 1:13300 HARGRAVE RD STE 360
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4374
Mailing Address - Country:US
Mailing Address - Phone:281-737-0070
Mailing Address - Fax:281-737-0071
Practice Address - Street 1:13300 HARGRAVE RD STE 360
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4374
Practice Address - Country:US
Practice Address - Phone:281-737-0070
Practice Address - Fax:281-737-0071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-28
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy