MEDICARE: DR. EMMILY DENISE SIMMONS PHARM.D.

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	183500000X	Pharmacist	31985	TX

General Provider Information

NPI Number	:	1932108909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMMILY DENISE SIMMONS PHARM.D.

Provider Business Mailing Address
First Line	:	PO BOX 944
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77001-0944
Country	:	US
Telephone Number	:	713-725-9134
Fax Number	:	713-747-1808

Provider Business Practice Location Address
First Line	:	2150 W 18TH ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-5200
Country	:	US
Telephone Number	:	832-384-1423
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	12/20/2021

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