Healthcare Provider Details

I. General information

NPI: 1073002127
Provider Name (Legal Business Name): MEGAN INTERNATIONAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2018
Last Update Date: 03/24/2022
Certification Date: 03/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1017 FAIRMONT PKWY
PASADENA TX
77504-2903
US

IV. Provider business mailing address

1017 FAIRMONT PKWY
PASADENA TX
77504-2903
US

V. Phone/Fax

Practice location:
  • Phone: 713-947-9696
  • Fax: 713-947-9697
Mailing address:
  • Phone: 713-947-9696
  • Fax: 713-947-9697

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number32026
License Number StateTX

VIII. Authorized Official

Name: DR. TAM NGUYEN
Title or Position: PRESIDENT
Credential: PHARM. D.
Phone: 832-661-0865