Active NPI
Stephanie Fakes, PHARMD
- Pharmacist
- Tomball, TX
National Provider Identifier
1083497804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 72872
- Practice address
- 815 W Main St
Tomball, TX 77375-5541 - Phone
- (281) 255-8265
- NPI assigned
- Aug 15, 2023
- Last updated
- Aug 15, 2023
- Sex
- Female
- 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 | 183500000X | 72872 | TX | Primary |
Addresses
Primary practice location
815 W Main St
Tomball, TX 77375-5541
Mailing address
815 W Main St
Tomball, TX 77375-5541
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72872 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients |
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": "1692057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1083497804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 W MAIN ST",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773755541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 W MAIN ST",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773755541",
"telephone_number": "281-255-8265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAKES",
"first_name": "STEPHANIE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-15",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "72872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tomball, TX
- Eyemasters of Texas, LTD (EyeMasters)
- Ezzi Dental PLLC (Toothfully Yours Dentistry)
- Ezzi Dentistry PLLC
- F.I.T Medical Weight Loss & Optimization, LLC
- Faith and Grace Counseling Services PLLC
- Fakhri Retina PLLC
- Thyrza Tanya Cabahug Falcon, PHARMD
- Family Medical Health Services PLLC
- Naveera Farooque, O.D.
- Kristin Feid
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.