Individual provider Active NPI

Symreet Mann

  • Community/Retail Pharmacy
  • Midland, TX
National Provider Identifier
1083255996
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
32908 Issued in TX
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

Updated by the provider on Oct 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
32908OtherTXTEXAS 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

LicenseStateTypeSpecialty
32908TXMDCommunity/Retail Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Midland Care Pharmacy LLC Community/Retail Pharmacy CurrentSince Oct 6, 2019 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.

Verify at the official NPI Registry.