Active NPI
Kellie Maude St.Germain, RPHT
- Pharmacy Technician
- Dublin, TX
National Provider Identifier
1013573088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 118184
- Practice address
- 604 N Patrick St
Dublin, TX 76446-1122 - Phone
- (254) 445-3679
- Fax
- (254) 445-3679
- NPI assigned
- May 15, 2019
- Last updated
- May 15, 2019
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 118184 | TX | Primary |
Addresses
Primary practice location
604 N Patrick St
Dublin, TX 76446-1122
Mailing address
604 N Patrick
Dublin, TX 76446
Phone (254) 445-3679
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 |
|---|---|---|---|
| 118184 | TX | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Best Value Pharmacies Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Best Value Dublin Pharmacy
- Community/Retail Pharmacy
- Dublin, TX
- NPI 1326104696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557878400000",
"number": "1013573088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 N PATRICK",
"city": "DUBLIN",
"state": "TX",
"postal_code": "76446",
"telephone_number": "254-445-3679",
"fax_number": "254-445-2771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 N PATRICK ST",
"city": "DUBLIN",
"state": "TX",
"postal_code": "764461122",
"telephone_number": "254-445-3679",
"fax_number": "254-445-3679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST.GERMAIN",
"first_name": "KELLIE",
"middle_name": "MAUDE",
"credential": "RPHT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-15",
"last_updated": "2019-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TX",
"license": "118184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.