MEDICARE: WINDIES COMMUNITY RX

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5936957	OTHER	TX	NCPDP APPLIED FOR USING PHARMD NPI
2	801856865	OTHER	TX	SOS

General Provider Information

NPI Number	:	1841923703
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WINDIES COMMUNITY RX

Provider Business Mailing Address
First Line	:	5201 HIGHWAY 6 STE 200
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-4398
Country	:	US
Telephone Number	:	281-969-7722
Fax Number	:	281-969-8756

Provider Business Practice Location Address
First Line	:	5201 HIGHWAY 6 STE 200
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-4398
Country	:	US
Telephone Number	:	281-969-7722
Fax Number	:	281-969-8756

Authorized Official
Title or Position	:	MANAGING OFFICER
Name	:	LA-KASIA BEST
Credential	:
Telephone Number	:	352-231-6298

Provider Enumeration Date	:	07/07/2022
Last Update Date	:	09/27/2023

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Directions to “WINDIES COMMUNITY RX ” Practice Location

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