Active NPI
Courtland M Carson, CPHT
- Pharmacy Technician
- Plano, TX
National Provider Identifier
1083127948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 246742
- Practice address
- 6324 Custer Rd
Plano, TX 75023-4211 - Phone
- (972) 575-8237
- NPI assigned
- Nov 14, 2017
- Last updated
- Mar 27, 2020
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 246742 | TX | Primary |
Addresses
Primary practice location
6324 Custer Rd
Plano, TX 75023-4211
Mailing address
6324 Custer Rd
Plano, TX 75023-4211
Phone (972) 575-8237
Other practice location 1
5049 Preston Rd
Frisco, TX 75034-7401
Phone (214) 387-9505
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 |
|---|---|---|---|
| 246742 | TX | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
6324 Custer Rd
Plano, TX 75023
Phone (972) 575-8237
Organizations & group practices 3
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": "1510617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585267200000",
"number": "1083127948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6324 CUSTER RD",
"city": "PLANO",
"state": "TX",
"postal_code": "750234211",
"telephone_number": "972-575-8237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6324 CUSTER RD",
"city": "PLANO",
"state": "TX",
"postal_code": "750234211",
"telephone_number": "972-575-8237"
}
],
"practiceLocations": [
{
"address_1": "5049 Preston Rd",
"address_purpose": "LOCATION",
"city": "Frisco",
"state": "TX",
"postal_code": "750347401",
"country_code": "US",
"telephone_number": "214-387-9505",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARSON",
"first_name": "COURTLAND",
"middle_name": "M",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-14",
"last_updated": "2020-03-27",
"certification_date": "2020-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TX",
"license": "246742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
- Cassie Jo Carroll, MS CCC-SLP
- Kenneth Bart Carroll
- Carrollton Dental Associates Inc (Parkhaven Dental Care)
- Carrus Behavioral Hospital LLC (Carrus Care Plano)
- Fiona Ghosh Carruth, CPNP-PC
- Stephen Carson, MS, LPC-A, NCC
- Rebecca Cartagena, PHD
- Ashanti Maki Carter, BCBA
- Bianca Maria Carter, FNP
- Claire Carter, M.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.