OrganizationActive
Jersey Village Pharmacy LLC
NPI 1396172128 · Compounding Pharmacy · Jersey Village, TX
Provider details
- NPI number
- 1396172128
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Christine Coon, Pharmacy Manager(713) 885-2039
Specialties & taxonomies
Suppliers
- Mail Order Pharmacy3336M0002X
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
- Specialty Pharmacy3336S0011X
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
17400 Highway 290 Ste 400
Jersey Village, TX 77040-1002
Phone: (281) 416-5800
Fax: (281) 416-5814
Approximate (ZIP-level) locationGet directions
Mailing address
17400 Highway 290 Ste 400
Jersey Village, TX 77040-1002
Other names (DBA / former)
- Doing business as
- Jersey Village Pharmacy-Compounding
Registry dates
- Enumerated
- 2013-10-14
- Last updated
- 2013-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.