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ST. JUDE PHARMACY, LLC
NPI 1104578277
Pharmacy - Community/Retail Pharmacy in Conroe, TX

Active since January 20, 2022
203 E DAVIS ST STE B, CONROE, TX 77301(936) 217-1018(936) 217-1019 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St. Jude Pharmacy, Llc NPPES

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

ST. JUDE PHARMACY, LLC (NPI 1104578277) is a healthcare organization registered as a community/retail pharmacy in Conroe, Texas and active in the NPI registry since January 2022. The organization lists Aniefiok Innocent Usoro, Administrator, as its authorized official.

NPPES Registry Identity

NPI1104578277
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameST. JUDE PHARMACY, LLC
Location Address203 E DAVIS ST STE BConroe, TX 77301-3160
Mailing AddressPo Box 2269Stafford, TX 77497-2269 · (832) 419-1152
Phone(936) 217-1018
Fax(936) 217-1019
Organization SubpartNo
Authorized OfficialAniefiok Innocent UsoroAdministrator · (832) 419-1152
Enumeration DateJanuary 20, 2022
NPPES CertifiedJanuary 20, 2022
✔ NPI 1104578277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
203 E DAVIS ST STE B, Conroe, TX 77301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES

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

JVK HEALTH LLC
Pharmacy (Community/Retail Pharmacy)
203 E DAVIS ST STE B
CONROE, TX 77301
Montgomery County (936) 647-3250

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 St. Jude Pharmacy, LLC's NPI number?

The NPI number for St. Jude Pharmacy, LLC is 1104578277. It was assigned to this organization in the NPPES registry on January 20, 2022.

Where is St. Jude Pharmacy, LLC located?

St. Jude Pharmacy, LLC is located at 203 E Davis St Ste B, Conroe, TX 77301. The listed phone number is (936) 217-1018.

What is St. Jude Pharmacy, LLC's specialty?

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

What insurance does St. Jude Pharmacy, LLC accept?

Health plans from Medica list St. Jude Pharmacy, 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 St. Jude Pharmacy, LLC was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.