MEDICARE: MEDICRX

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

General Provider Information

NPI Number	:	1598602021
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICRX

Provider Business Mailing Address
First Line	:	5090 RICHMOND AVE # 315
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-7402
Country	:	US
Telephone Number	:	325-202-4015
Fax Number	:

Provider Business Practice Location Address
First Line	:	405 LONDONDERRY DR STE 104
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76712-7920
Country	:	US
Telephone Number	:	325-202-4015
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	RAJA FAWAD GUL
Credential	:
Telephone Number	:	325-202-4015

Provider Enumeration Date	:	05/01/2026
Last Update Date	:	05/31/2026

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Directions to “MEDICRX ” Practice Location

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