Provider Demographics
NPI:1821082900
Name:HEALTHQUEST PHARMACY, INC.
Entity Type:Organization
Organization Name:HEALTHQUEST PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, PHARMACIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:NIRVANA
Authorized Official - Middle Name:
Authorized Official - Last Name:HIGHTOWER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:281-893-8588
Mailing Address - Street 1:11240 FM 1960 WEST
Mailing Address - Street 2:SUITE 404
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065
Mailing Address - Country:US
Mailing Address - Phone:281-893-8588
Mailing Address - Fax:281-893-3385
Practice Address - Street 1:11240 FM 1960 RD W
Practice Address - Street 2:SUITE 404
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-3662
Practice Address - Country:US
Practice Address - Phone:281-893-8588
Practice Address - Fax:281-893-3385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-06
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1152930001332B00000X
TX17591333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX091464001Medicaid
TX17591OtherPHARMACY
4599695OtherNABP
TX091464001Medicaid