P Praxis·MD
● Active Type 2 · Organization

Jersey Village Pharmacy Llc

Pharmacy·Jersey Village, TX· NPI 1396172128 · Enumerated 2013 · 12 years on NPI
Jersey Village Pharmacy Llc is 1 of 126 pharmacy organizations in Texas.
NPI age
12 years
Enumerated 2013-10-14
Primary specialty
Pharmacy
Plus 5 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Coon
Pharmacy Manager
Last NPPES update
2013-10-26
Source: monthly bulk 2026-05

How this organization compares

Across 126 active pharmacy providers in Texas.

NPI age
12 years
↑ 1 yr above median
Practice locations
1
0 secondary on file
Subspecialties
5
In the 45% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-10Enumerated in NPPES
2013 2026

Where they practice

Primary practice location
17400 Highway 290 Ste 400
Jersey Village, TX 770401002
📞 2814165800fax 2814165814
Mailing address
17400 Highway 290 Ste 400
Jersey Village, TX 770401002
📞 2814165800fax 2814165814

Authorized official

Christine Coon
Pharmacy Manager
📞 7138852039

Specialties

  • Pharmacy Primary
    A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of...
    TX license #28723 taxonomy 3336C0004X
  • Durable Medical Equipment & Medical Supplies
    A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
    taxonomy 332B00000X
  • Pharmacy
    A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies...
    taxonomy 3336M0002X
  • Pharmacy
    A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the...
    taxonomy 3336C0003X
  • Pharmacy
    A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these...
    taxonomy 3336S0011X
  • Pharmacy
    A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
    taxonomy 333600000X

Identifiers

TypeValueNotes
01 2142464 PK

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Jersey Village Pharmacy-Compounding
    Type code 3 recorded 2013-10-26

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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