Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

FOURTH LLC
NPI 1265331078
Pharmacy - Community/Retail Pharmacy in Houston, TX

Q: What is Fourth LLC's NPI number?

The NPI number for Fourth LLC is 1265331078. It was assigned to this organization in the NPPES registry on November 5, 2026.

Q: What is Fourth LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Fourth LLC was last updated on November 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.

Active since November 05, 2026

1300 N SAM HOUSTON PKWY E STE 125, HOUSTON, TX 77032(321) 399-0873(862) 278-9413 Get Directions Write a Review

NPPES record added: November 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Fourth Llc NPPES

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

FOURTH LLC (NPI 1265331078) is a healthcare organization registered as a community/retail pharmacy in Houston, Texas and active in the NPI registry since November 2026. The organization lists Nelson Kraucak, Manager, as its authorized official.

NPPES Registry Identity

NPI1265331078

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameFOURTH LLC

Location Address1300 N SAM HOUSTON PKWY E STE 125Houston, TX 77032-2969

Mailing Address1300 N Sam Houston Pkwy E Ste 125Houston, TX 77032-2969 · (321) 399-0873 · Fax (862) 278-9413

Phone(321) 399-0873

Fax(862) 278-9413

Organization SubpartNo

Authorized OfficialNelson KraucakManager · (321) 399-0873

Enumeration DateNovember 5, 2026

NPPES CertifiedNovember 5, 2026

✔ NPI 1265331078 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.

1300 N SAM HOUSTON PKWY E STE 125, Houston, TX 77032

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Other Providers at the Same Location NPPES 14

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

BURKS INVESTMENT AND PROPERTIES

Pharmacy (Community/Retail Pharmacy)