MEDICARE: SANTA MARIA PHARMACY, 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	29740	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

General Provider Information

NPI Number	:	1679963623
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANTA MARIA PHARMACY, LLC

Provider Business Mailing Address
First Line	:	6108 GULFTON ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-2304
Country	:	US
Telephone Number	:	713-592-5300
Fax Number	:	713-592-5302

Provider Business Practice Location Address
First Line	:	6108 GULFTON ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-2304
Country	:	US
Telephone Number	:	713-592-5300
Fax Number	:	713-592-5302

Authorized Official
Title or Position	:	OWNER
Name	:	TSIGIE GIRGIRO
Credential	:	PHARM.D
Telephone Number	:	832-687-4132

Provider Enumeration Date	:	01/29/2015
Last Update Date	:	02/24/2021

Similar Medicare Providers

1982901047 — MERCEDES SERRANO PA
Practice Location Address:

6110 GULFTON ST
HOUSTON, TX
77081-2304

Practice Phone: 713-777-2404
Practice Fax:

1376051136 — AWAAM URGENTCARE CLINIC & MINOR EMERGENCY
Practice Location Address:

6110 GULFTON ST
HOUSTON, TX
77081-2304

Practice Phone: 281-857-1608
Practice Fax:

1609370022 — AWAAM URGENT CARE CLINIC LLC
Practice Location Address:

6110 GULFTON ST
HOUSTON, TX
77081-2304

Practice Phone: 281-857-1608
Practice Fax:

1114492618 — ABDUL WAHEED FNP-BC
Practice Location Address:

6108 GULFTON ST
HOUSTON, TX
77081-2304

Practice Phone: 832-491-1506
Practice Fax:

1386348142 — TASHNA MCKOY
Practice Location Address:

6108 GULFTON ST
HOUSTON, TX
77081-2304

Practice Phone: 832-491-1506
Practice Fax:

1255189429 — AMIRA ELHAMDI FNP-BC
Practice Location Address:

6108 GULFTON ST
HOUSTON, TX
77081-2304

Practice Phone: 832-491-1506
Practice Fax:

Directions to “SANTA MARIA PHARMACY, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.