MEDICARE: FUNKIA PHARMACY AND GROCERIES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1548110489
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FUNKIA PHARMACY AND GROCERIES

Provider Business Mailing Address
First Line	:	3114 BELLARIA LANDING LN
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-7416
Country	:	US
Telephone Number	:	832-506-6362
Fax Number	:	346-852-0866

Provider Business Practice Location Address
First Line	:	6211 BARKER CYPRESS RD # 104-C
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-1603
Country	:	US
Telephone Number	:	346-852-0860
Fax Number	:	346-852-0866

Authorized Official
Title or Position	:	PHARMACIST
Name	:	ALPHA SONII
Credential	:
Telephone Number	:	832-506-6362

Provider Enumeration Date	:	01/30/2026
Last Update Date	:	01/30/2026

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