Bear Creek Pharmacy LLC
Bear Creek Pharmacy LLC is a healthcare organization registered as Community/Retail Pharmacy in Keller, TX, holding Type 2 (organization) NPI 1104121235 since 2011. The authorized official on file is Henry Simo, Owner/Pic.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104121235 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bear Creek Pharmacy LLC |
| Other name | <Unavail> |
| Practice address | 101 BEAR CREEK PKWY STE B, Keller, TX, 76248 |
| Phone | 8175624766 |
| Fax | 8175624871 |
| Enumeration date | 2011-01-20 |
| Last updated in NPPES | 2019-10-03 |
Authorized official
| Name | Henry Simo |
|---|---|
| Title | Owner/Pic |
| Phone | 8175624766 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336C0004X | Compounding Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 27405 | TX |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2129429 | Other | — | PK |
Copy-ready billing details
Provider: Bear Creek Pharmacy LLC NPI: 1104121235 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 101 BEAR CREEK PKWY STE B, Keller, TX, 76248
Verify this record
Cross-check NPI 1104121235 against the authoritative CMS record: view Bear Creek Pharmacy LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Bear Creek Pharmacy LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-10-03.