Active NPI
Wanda A Rivera
- Pharmacist
- McAllen, TX
National Provider Identifier
1013201201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 36620
- Practice address
- 3600 W Nolana Ave
McAllen, TX 78504-4594 - Phone
- (956) 618-7701
- Fax
- (956) 618-7711
- NPI assigned
- Jun 5, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 36620 | TX | Primary |
Addresses
Primary practice location
3600 W Nolana Ave
McAllen, TX 78504-4594
Mailing address
7104 N 15TH St
McAllen, TX 78504-3124
Phone (956) 648-6199
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 |
|---|---|---|---|
| 36620 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307232000000",
"number": "1013201201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7104 N 15TH ST",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785043124",
"telephone_number": "956-648-6199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 W NOLANA AVE",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785044594",
"telephone_number": "956-618-7701",
"fax_number": "956-618-7711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "WANDA",
"middle_name": "A",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-05",
"last_updated": "2011-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "36620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.