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CALVARY PHARMACEUTICAL SERVICES LLC
NPI 1013457597
Pharmacy - Community/Retail Pharmacy in Houston, TX

Active since March 02, 2017
17115 RED OAK DR STE 105, HOUSTON, TX 77090(346) 323-6161(346) 323-6171 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 4, 2021, Mar 2, 2017 (2 updates tracked since 2017).

About Calvary Pharmaceutical Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CALVARY PHARMACEUTICAL SERVICES LLC (NPI 1013457597) is a healthcare organization registered as a community/retail pharmacy in Houston, Texas and active in the NPI registry since March 2017. The organization lists Dorathy Chiamaka Ubah, Managing Officer, as its authorized official.

NPPES Registry Identity

NPI1013457597
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCALVARY PHARMACEUTICAL SERVICES LLC
Location Address17115 RED OAK DR STE 105Houston, TX 77090-2607
Mailing Address17115 Red Oak Dr Ste 105Houston, TX 77090-2607 · (346) 323-6161 · Fax (346) 323-6171
Phone(346) 323-6161
Fax(346) 323-6171
Organization SubpartNo
Authorized OfficialDorathy Chiamaka UbahManaging Officer · (844) 404-4377
Enumeration DateMarch 2, 2017
Last NPPES UpdateFebruary 4, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2021
✔ NPI 1013457597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
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 dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
17115 RED OAK DR STE 105, Houston, TX 77090
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Other Identifiers 1

Other2168191Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Calvary Pharmaceutical Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20200317002084Non-DME Part B · PharmacyDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AKOSUA ADU ADDAI PHARMD
Pharmacist
17115 RED OAK DR STE 105
HOUSTON, TX 77090
Harris County (346) 323-6161
SOUTHWEST PHARMACY
Pharmacy (Community/Retail Pharmacy)
17115 RED OAK DR STE 105
HOUSTON, TX 77090
Harris County (281) 893-8665

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Calvary Pharmaceutical Services LLC's NPI number?

The NPI number for Calvary Pharmaceutical Services LLC is 1013457597. It was assigned to this organization in the NPPES registry on March 2, 2017.

Where is Calvary Pharmaceutical Services LLC located?

Calvary Pharmaceutical Services LLC is located at 17115 Red Oak Dr Ste 105, Houston, TX 77090. The listed phone number is (346) 323-6161.

What is Calvary Pharmaceutical Services LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Is Calvary Pharmaceutical Services LLC enrolled in Medicare?

Yes. Calvary Pharmaceutical Services LLC is registered in the Medicare PECOS enrollment system.

When is Calvary Pharmaceutical Services LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Pharmacy) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Calvary Pharmaceutical Services LLC accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans, Blue Cross and Blue Shield of Louisiana and HMO Louisiana and 1 other insurer list Calvary Pharmaceutical Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Calvary Pharmaceutical Services LLC was last updated on February 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.