Healthcare Provider Details

I. General information

NPI: 1932981339
Provider Name (Legal Business Name): AMERIMED PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2023
Last Update Date: 10/19/2023
Certification Date: 10/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5044 CRENSHAW RD STE 500B
PASADENA TX
77505-3163
US

IV. Provider business mailing address

5044 CRENSHAW RD STE 500B
PASADENA TX
77505-3163
US

V. Phone/Fax

Practice location:
  • Phone: 281-680-9000
  • Fax: 281-680-9010
Mailing address:
  • Phone: 281-680-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: GERARD MOHAMMED
Title or Position: PRESIDENT
Credential:
Phone: 281-680-9000