St. Jude Pharmacy, LLC
St. Jude Pharmacy, LLC is a healthcare organization registered as Community/Retail Pharmacy in Conroe, TX, holding Type 2 (organization) NPI 1104578277 since 2022. The authorized official on file is Aniefiok Usoro, Administrator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104578277 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | St. Jude Pharmacy, LLC |
| Practice address | 203 E DAVIS ST STE B, Conroe, TX, 77301 |
| Phone | 9362171018 |
| Fax | 9362171019 |
| Enumeration date | 2022-01-20 |
| Last updated in NPPES | 2022-01-20 |
Authorized official
| Name | Aniefiok Usoro |
|---|---|
| Title | Administrator |
| Phone | 8324191152 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Copy-ready billing details
Provider: St. Jude Pharmacy, LLC NPI: 1104578277 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 203 E DAVIS ST STE B, Conroe, TX, 77301
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1679466148 | Jvk Health LLC | Organization | Community/Retail Pharmacy | Conroe, TX |
Verify this record
Cross-check NPI 1104578277 against the authoritative CMS record: view St. Jude 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 St. Jude Pharmacy, LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-01-20.