OrganizationActive
St. Jude Pharmacy, LLC
NPI 1104578277 · Community/Retail Pharmacy · Conroe, TX
St. Jude Pharmacy, LLC is a Community/Retail Pharmacy organization in Conroe, TX (NPI 1104578277).
Provider details
- NPI number
- 1104578277
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Aniefiok Usoro, Administrator(832) 419-1152
Specialties & taxonomies
Suppliers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
203 E Davis St Ste B
Conroe, TX 77301-3160
Phone: (936) 217-1018
Fax: (936) 217-1019
Street-level locationGet directions
Mailing address
Po Box 2269
Stafford, TX 77497-2269
Registry dates
- Enumerated
- 2022-01-20
- Last updated
- 2022-01-20
- Certified
- 2022-01-20
Frequently asked questions
- What is St. Jude Pharmacy, LLC's NPI number?
- St. Jude Pharmacy, LLC's National Provider Identifier (NPI) is 1104578277, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St. Jude Pharmacy, LLC?
- St. Jude Pharmacy, LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is St. Jude Pharmacy, LLC located?
- St. Jude Pharmacy, LLC's practice location on file with NPPES is 203 E Davis St Ste B, Conroe, TX 77301-3160.
- What is St. Jude Pharmacy, LLC's phone number?
- The practice phone number listed in the NPPES registry for St. Jude Pharmacy, LLC is (936) 217-1018.
- Who is the authorized official for St. Jude Pharmacy, LLC?
- The authorized official listed on St. Jude Pharmacy, LLC's NPPES record is Aniefiok Usoro, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St. Jude Pharmacy, LLC's NPI active?
- Yes — St. Jude Pharmacy, LLC's NPI (1104578277) is active in the NPPES registry as of the last update on 2022-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.