SOUTHSIDE PHARMACY
NPI 1821159906
Pharmacy - Community/Retail Pharmacy in Bellaire, TX

Active since December 13, 2006
6330 WEST LOOP SOUTH, STE 700 D, BELLAIRE, TX 77401(713) 660-8888(713) 661-4828 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 26, 2021, Dec 12, 2017 (2 updates tracked since 2017).

  • Organization
  • Pharmacy
  • Community/Retail Pharmacy
  • Accepts Insurance

About SOUTHSIDE PHARMACY

This page provides the complete NPI Profile along with additional information for Southside Pharmacy, a provider established in Bellaire, Texas operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1821159906 assigned on December 2006. The practitioner's primary taxonomy code is 3336C0003X with license number 25057 (TX). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Southside Pharmacy. The authorized official of this NPI record is Mark Fetcenko (Coo-officer)

NPI
1821159906 Verify this NPI
Provider Legal Name
HDK ENTERPRISES LLC
Other Organization Name
SOUTHSIDE PHARMACY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6330 WEST LOOP SOUTH STE 700 D BELLAIRE, TX 77401
Location Phone
(713) 660-8888
Location Fax
(713) 661-4828
Mailing Address
6330 WEST LOOP SOUTH STE 700 BELLAIRE, TX 77401
Mailing Phone
(713) 660-8888
Mailing Fax
(713) 661-4828
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-13-2006
Last Update Date
07-26-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
25057
License State
TX
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Balance by Medica Bronze $0 Copay PCP Visits - EPO
  • Balance by Medica Bronze Premier - EPO
  • Balance by Medica Expanded Bronze Standard - EPO
  • Balance by Medica Gold $0 Copay PCP Visits - EPO
  • Balance by Medica Gold Share - EPO
  • Balance by Medica Gold Standard - EPO
  • Balance by Medica Silver $0 Copay PCP Visits - EPO
  • Balance by Medica Silver Share - EPO
  • Balance by Medica Silver Standard - EPO
  • Medica with MU Health Care Bronze $0 Copay PCP Visits - EPO
  • Medica with MU Health Care Bronze Premier - EPO
  • Medica with MU Health Care Expanded Bronze Standard - EPO
  • Medica with MU Health Care Gold $0 Copay PCP Visits - EPO
  • Medica with MU Health Care Gold Share - EPO
  • Medica with MU Health Care Gold Standard - EPO
  • Medica with MU Health Care Silver $0 Copay PCP Visits - EPO
  • Medica with MU Health Care Silver Share - EPO
  • Medica with MU Health Care Silver Standard - EPO
  • Select by Medica Bronze $0 Copay PCP Visits - EPO
  • Select by Medica Bronze Share - EPO
  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Moda Select Alaska Bronze 6500 - PPO
  • Moda Select Alaska Bronze HDHP 5500 - PPO
  • Moda Select Alaska Gold 1500 - PPO
  • Moda Select Alaska Silver 4500 - PPO
  • Moda Select Alaska Standard Bronze - PPO
  • Moda Select Alaska Standard Gold - PPO
  • Moda Select Alaska Standard Silver - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARK FETCENKO

Authorized Official Title
COO-OFFICER
Authorized Official Phone
(832) 553-1301

Reviews for SOUTHSIDE PHARMACY

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Pharmacy (Community/Retail Pharmacy)
6330 WEST LOOP SOUTH, SUITE 700 C
BELLAIRE, TX 77401
Pharmacy (Community/Retail Pharmacy)
6330 WEST LOOP SOUTH, SUITE 700 D, 7TH FLOOR
BELLAIRE, TX 77401
Pharmacy (Community/Retail Pharmacy)
6330 WEST LOOP SOUTH, STE. 700 C
BELLAIRE, TX 77401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821159906, enumerated as an "organization" on December 13, 2006.

The provider is located at 6330 WEST LOOP SOUTH STE 700 D BELLAIRE, TX 77401 and the phone number is (713) 660-8888.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Medica and Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.