NPI age
6 years
Enumerated 2019-09-04
● Active Type 2 · Organization
Space City Pharmacy Llc
Space City Pharmacy Llc is 1 of 5625 pharmacy organizations in Texas.
Primary specialty
Pharmacy
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Moore
Managing Member
Last NPPES update
2021-07-19
Source: monthly bulk 2026-05
How this organization compares
Across 5625 active pharmacy providers in Texas.
NPI age
6 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 62% of peers with subspecialties
NPI lifetime · 2019 → 2026
2019-09Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
902 S Friendswood Dr Ste E
Friendswood, TX 775465154
Mailing address
902 S Friendswood Dr Ste E
Friendswood, TX 775465154
Authorized official
Justin Moore
Managing Member
📞 8325695062
Specialties
-
Pharmacy PrimaryA 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...
-
PharmacyA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 32841 | PHARMACY LICENSE |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Space City Pharmacy
-
Space City Pharmacy
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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