MEDICARE: PD & SONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	26239	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2117939	OTHER		PK

General Provider Information

NPI Number	:	1407001068
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PD & SONS LLC

Provider Business Mailing Address
First Line	:	2121 TIPPERARY DR
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77581-5149
Country	:	US
Telephone Number	:	281-481-6602
Fax Number	:	281-464-3115

Provider Business Practice Location Address
First Line	:	11002 SCARSDALE BLVD
Second Line	:	STE A
City	:	HOUSTON
State	:	TX
Zip	:	77089-5973
Country	:	US
Telephone Number	:	281-481-6602
Fax Number	:	281-464-3115

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PHAM NGUYEN
Credential	:
Telephone Number	:	281-300-4490

Provider Enumeration Date	:	11/24/2008
Last Update Date	:	06/12/2025

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Directions to “PD & SONS LLC ” Practice Location

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