Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jersey Village Pharmacy LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1396172128

Jersey Village Pharmacy LLC is a Durable Medical Equipment & Medical Supplies in Jersey Village, Texas. Licensed in Texas. Registered with an NPI since 2013.

Licensed in
TX
In the registry since
2013
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17400 Highway 290 Ste 400
Jersey Village, TX 77040-1002
Phone: (281) 416-5800
Fax: (281) 416-5814
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Compounding Pharmacy (primary) Taxonomy 3336C0004X · Licence 28723 (TX)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X
Community/Retail Pharmacy Taxonomy 3336C0003X
Mail Order Pharmacy Taxonomy 3336M0002X
Specialty Pharmacy Taxonomy 3336S0011X

Record details

NPI number1396172128
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christine Coon — Pharmacy Manager · (713) 885-2039
Other names Jersey Village Pharmacy-Compounding
NPI enumeratedOctober 14, 2013
Last updated in NPPESOctober 26, 2013
Mailing address17400 Highway 290 Ste 400, Jersey Village, TX 77040-1002

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