MEDICARE: PROSCRIPT AMERICA, INC.

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	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1669282729
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROSCRIPT AMERICA, INC.

Provider Business Mailing Address
First Line	:	1801 BINZ ST STE 310
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-8107
Country	:	US
Telephone Number	:	832-423-1007
Fax Number	:	713-574-2719

Provider Business Practice Location Address
First Line	:	1801 BINZ ST STE 310
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-8107
Country	:	US
Telephone Number	:	832-423-1007
Fax Number	:	713-574-2719

Authorized Official
Title or Position	:	PRESIDENT
Name	:	STANLEY JOHN DANIELS
Credential	:
Telephone Number	:	281-816-6501

Provider Enumeration Date	:	01/10/2025
Last Update Date	:	01/10/2025

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Directions to “PROSCRIPT AMERICA, INC. ” Practice Location

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