Organization
IRIDIUM SPECIALTY PHARMACY, PLLC
Active
Other names
Iridium Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DELSHALONDA INGRAM PHARMD (ADMINISTRATOR)
(713) 324-7235
Entity
Organization
Contact information
Practice address
11303 CHIMNEY ROCK RD # 105, HOUSTON, TX 77035-2901
(713) 324-7235
(713) 324-7236
Mailing address
1500 HADLEY ST # 103, HOUSTON, TX 77002-8943
(713) 324-7235
(713) 324-7236
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35937
TSBP
TX
Enumeration date
12/11/2020
Last updated
12/02/2025
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