Active NPI
Anthony Ngoumnai
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Aransas Pass, TX
National Provider Identifier
1043046352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 74740
- Practice address
- 2702 W Wheeler Ave
Aransas Pass, TX 78336-7112 - Phone
- (361) 758-2135
- NPI assigned
- Sep 12, 2024
- Last updated
- Sep 12, 2024
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 74740 | TX | Primary |
Addresses
Primary practice location
2702 W Wheeler Ave
Aransas Pass, TX 78336-7112
Mailing address
2642 Excelsior Blvd
Corpus Christi, TX 78415-1100
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 |
|---|---|---|---|
| 74740 | TX | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
2702 W Wheeler Ave
Aransas Pass, TX 78336
Phone (361) 758-2135
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": "1726099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1043046352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2642 EXCELSIOR BLVD",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784151100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2702 W WHEELER AVE",
"city": "ARANSAS PASS",
"state": "TX",
"postal_code": "783367112",
"telephone_number": "361-758-2135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGOUMNAI",
"first_name": "ANTHONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-12",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "TX",
"license": "74740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aransas Pass, TX
- Catherine Ann Metivier, D.D.S.
- Dana F Mircovich, FNP
- Emely Molina
- Sandra G. Morris, LPC
- Kimberlee Dawn Napier, MS LPC-S
- Karim N Nooruddin, M.D.
- North Bay General Hospital
- North Bay General Hospital, Inc (NBH Physician Services)
- North Bay General Hospital, Inc. (Care Regional Medical Center)
- Emilia O' Neill Baker
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.