=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184595332
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | QD1 PHARMACY LP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/12/2025
-----------------------------------------------------
Last Update Date | 09/12/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 13311 PIKE RD
-----------------------------------------------------
City | STAFFORD
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77477-5111
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-491-4009
-----------------------------------------------------
Fax | 281-491-4024
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 13311 PIKE RD
-----------------------------------------------------
City | STAFFORD
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77477-5111
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-491-4009
-----------------------------------------------------
Fax | 281-491-4024
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF EXECUTIVE OFFICER
-----------------------------------------------------
Name | MARIA 2223 HEMENEZ
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 281-491-4009
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------