Jersey Village Pharmacy Llc
Compounding Pharmacy
17400 Highway 290 Ste 400, Jersey Village
Texas, 77040-1002
281-416-5800 281-416-5814
Jersey Village Pharmacy Llc is not a DME supplier for medicare equipments and products.
Jersey Village Pharmacy Llc is a Compounding Pharmacy in Jersey Village, Texas. It is located at 17400 Highway 290 Ste 400, Jersey Village and it's customer support contact number is 281-416-5800. The authorized person of Jersey Village Pharmacy Llc is Christine Coon who is Pharmacy Manager of the pharmacy and his contact number is 713-885-2039. Active license number of Jersey Village Pharmacy Llc is 28723 for Compounding Pharmacy in Texas.
Jersey Village Pharmacy Llc is 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 professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Pharmacy Details:
Jersey Village Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Jersey Village Pharmacy Llc |
| Type: | Compounding Pharmacy |
| Location: | 17400 Highway 290 Ste 400, Jersey Village, Texas, 77040-1002 |
| Phone: | 281-416-5800 |
| Fax: | 281-416-5814 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Christine Coon |
| Position: | Pharmacy Manager |
| Contact Number: | 713-885-2039 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1396172128 |
| NPI Enumeration Date: | 14 Oct, 2013 |
| NPI Last Update On: | 26 Oct, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jersey Village Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Compounding Pharmacy | 28723 | Texas | Primary | |
| Mail Order Pharmacy | | | Secondary | |
| Community/Retail Pharmacy | | | Secondary | |
| Specialty Pharmacy | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2142464 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 17400 Highway 290 Ste 400, Jersey Village, Texas |
| Zip: | 77040-1002 |
| Phone Number: | 281-416-5800 |
| Fax Number: | 281-416-5814 |
Patients can reach Jersey Village Pharmacy Llc at
17400 Highway 290 Ste 400, Jersey Village, Texas or can
call on customer care at 281-416-5800.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.