Active NPI
Symreet Mann
- Community/Retail Pharmacy
- Midland, TX
National Provider Identifier
1083255996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 32908
- Practice address
- 1111 N Midkiff Rd Ste a
Midland, TX 79701-2120 - Phone
- (432) 299-2996
- NPI assigned
- Oct 2, 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 |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 32908 | TX | Primary |
Addresses
Primary practice location
1111 N Midkiff Rd Ste a
Midland, TX 79701-2120
Mailing address
601 E 7TH St
Odessa, TX 79761-4509
Phone (432) 299-2996
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32908 | Other | TX | TEXAS STATE BOARD OF PHARMACY LICENSE |
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 |
|---|---|---|---|
| 32908 | TX | MD | Community/Retail Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midland Care Pharmacy LLC | Community/Retail Pharmacy | Current | Accepting new patients |
| Westex Pharmacy LLC | Community/Retail Pharmacy | Current | Accepting new patients |
Locations
1111 N Midkiff Rd
Ste A
Midland, TX 79701
Phone (432) 279-0912
601 E 7th St
Odessa, TX 79761
Phone (432) 299-2995
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": "1569974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1083255996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 E 7TH ST",
"city": "ODESSA",
"state": "TX",
"postal_code": "797614509",
"telephone_number": "432-299-2996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 N MIDKIFF RD STE A",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797012120",
"telephone_number": "432-299-2996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "SYMREET",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-02",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "32908",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS STATE BOARD OF PHARMACY LICENSE",
"identifier": "32908",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.