Provider Demographics
NPI:1487931028
Name:STARR PLUS PHARMACY, LLC.
Entity type:Organization
Organization Name:STARR PLUS PHARMACY, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:P.I.C. / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:NKECHI
Authorized Official - Last Name:AMUSHIE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:832-274-0595
Mailing Address - Street 1:208 OAK DR S STE 601
Mailing Address - Street 2:
Mailing Address - City:LAKE JACKSON
Mailing Address - State:TX
Mailing Address - Zip Code:77566-5789
Mailing Address - Country:US
Mailing Address - Phone:979-297-3800
Mailing Address - Fax:979-297-3806
Practice Address - Street 1:208 OAK DR S STE 601
Practice Address - Street 2:
Practice Address - City:LAKE JACKSON
Practice Address - State:TX
Practice Address - Zip Code:77566-5789
Practice Address - Country:US
Practice Address - Phone:979-297-3800
Practice Address - Fax:979-297-3806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-10
Last Update Date:2021-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX277443336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX148544Medicaid