=====================================================
General NPI Number Information
=====================================================
NPI Number | 1548110489
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FUNKIA PHARMACY AND GROCERIES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/30/2026
-----------------------------------------------------
Last Update Date | 01/30/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6211 BARKER CYPRESS RD # 104-C
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77084-1603
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 346-852-0860
-----------------------------------------------------
Fax | 346-852-0866
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3114 BELLARIA LANDING LN
-----------------------------------------------------
City | KATY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77494-7416
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-506-6362
-----------------------------------------------------
Fax | 346-852-0866
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHARMACIST
-----------------------------------------------------
Name | ALPHA SONII
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 832-506-6362
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------