Active NPI
Christian Wirba
- Pharmacist
- Del Rio, TX
National Provider Identifier
1003533613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 62036
- Practice address
- 909 Veterans Blvd
Del Rio, TX 78840-4065 - Phone
- (830) 290-6015
- NPI assigned
- Oct 24, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 62036 | TX | Primary |
Addresses
Primary practice location
909 Veterans Blvd
Del Rio, TX 78840-4065
Mailing address
5240 114TH St Apt 618
Lubbock, TX 79424-1549
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62036 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
909 Veterans Blvd
Del Rio, TX 78840
Phone (830) 290-6015
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1003533613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5240 114TH ST APT 618",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794241549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 VETERANS BLVD",
"city": "DEL RIO",
"state": "TX",
"postal_code": "788404065",
"telephone_number": "830-290-6015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIRBA",
"first_name": "CHRISTIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-24",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "62036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Del Rio, TX
- Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0447)
- Wal-Mart Stores Texas, LP (Vision Center 30-0447)
- Walgreen Co (Walgreens #21320)
- Kate Walsh, PHYSICIAN ASSISTANT
- Glen Edward Wiese, R PH
- Stephanie Wolfe, FNP
- Jessica Lynn Yanez
- Nina Geraldine G Yu, PT
- Ledana Ruth Zadorozny, CRNA/MS ARNP ED.D.
- Miriam Zapata
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.