MEDICARE: IPHARMA 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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1407461940
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IPHARMA LLC.

Provider Business Mailing Address
First Line	:	5400 KATY FWY STE 100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-4343
Country	:	US
Telephone Number	:	281-253-8924
Fax Number	:	844-779-0366

Provider Business Practice Location Address
First Line	:	5400 KATY FWY STE 100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-4343
Country	:	US
Telephone Number	:	281-253-8924
Fax Number	:	844-779-0366

Authorized Official
Title or Position	:	OWNER/PIC
Name	:	DR. MARYAM EMADI
Credential	:	PHARMD
Telephone Number	:	713-869-1977

Provider Enumeration Date	:	09/11/2020
Last Update Date	:	05/02/2022

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