Organization · Type 2 NPI

Harris County Hospital District

Clinic Pharmacy · Houston, TX

NPI number 1104826858 Active

Practice location

1615 N Main St, Pharmacy
Houston, TX 77009-8525

Call (713) 842-4312 Map

Fax (713) 236-7130

Mailing address

4800 Fournace Pl Ste 600W
Bellaire, TX 77401-2324

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Clinic Pharmacy Primary	3336C0002X	02092 (TX)

Clinic Pharmacy: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

29 other providers at this address

Other clinic pharmacy providers in Houston

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NPI record

NPI: 1104826858
Entity type: Organization (Type 2)
Issued: Jul 22, 2005
Last updated: Oct 1, 2026
Status: Active
Subpart: Yes of Harris County Hospital District

Other names

<unavail>
Casa de Amigos Clinic Pharmacy · doing business as
Casa de Amigos Clinic Pharmacy · doing business as

Authorized official

Victoria Nikitin
EVP, CFO
(346) 426-0462

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104826858

Harris County Hospital District's National Provider Identifier is 1104826858, issued on Jul 22, 2005. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Houston, TX. The record was last updated on Oct 1, 2026.