Healthcare Provider Details

I. General information

NPI: 1760271332
Provider Name (Legal Business Name): WINDROSE RX, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2025
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20423 KUYKENDAHL RD STE 500
SPRING TX
77379-3493
US

IV. Provider business mailing address

20423 KUYKENDAHL RD STE 500
SPRING TX
77379-3493
US

V. Phone/Fax

Practice location:
  • Phone: 832-559-1589
  • Fax:
Mailing address:
  • Phone: 832-559-1589
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1835I0206X
TaxonomyInfectious Diseases Pharmacist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number State

VIII. Authorized Official

Name: OSCAR ASBERRY
Title or Position: OFFICER
Credential:
Phone: 832-559-1589