Healthcare Provider Details

I. General information

NPI: 1033168034
Provider Name (Legal Business Name): THE DEVEREUX FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 09/27/2023
Certification Date: 04/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 DEVEREUX DRIVE
LEAGUE CITY TX
77573-2043
US

IV. Provider business mailing address

1150 DEVEREUX DRIVE
LEAGUE CITY TX
77573-2043
US

V. Phone/Fax

Practice location:
  • Phone: 833-353-2063
  • Fax: 281-316-5448
Mailing address:
  • Phone: 833-353-2063
  • Fax: 281-316-5448

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHRISTY M BARR
Title or Position: VP/CHIEF PHARMACY OFFICER
Credential: MHA, RPH
Phone: 215-378-2791