Active NPI
Annette Annette Enababor
- Pharmacist
- Austin, TX
National Provider Identifier
1073224515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 51052
- Practice address
- 5511 Parkcrest Dr
Suite 103
Austin, TX 78731 - Phone
- (301) 806-8364
- NPI assigned
- Dec 6, 2022
- Last updated
- Dec 6, 2022
- 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 | 51052 | TX | Primary |
Addresses
Primary practice location
5511 Parkcrest Dr
Suite 103
Austin, TX 78731
Mailing address
PO Box 1681
Georgetown, TX 78627-1681
Phone (301) 806-8364
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | annette@ann-ez.com | Direct |
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 |
|---|---|---|---|
| 51052 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670284800000",
"number": "1073224515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1681",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786271681",
"telephone_number": "301-806-8364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5511 PARKCREST DR",
"address_2": "SUITE 103",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78731",
"telephone_number": "301-806-8364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENABABOR",
"first_name": "ANNETTE",
"middle_name": "ANNETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-06",
"last_updated": "2022-12-06",
"certification_date": "2022-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "51052",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "annette@ann-ez.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2300 SCENIC DR",
"address_2": "# 1681",
"city": "Georgetown",
"state": "TX",
"country_code": "US",
"postal_code": "78627",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Austin, TX
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- Enable Dental of Arizona (Enable Dental)
- Enable Dental of Illinois PLLC (Enable Dental Inc.)
- Enable Dental of New Mexico LLC
- Enable Dental of New York PLLC (Enable Dental Inc.)
- Enable Dental of South Carolina, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.