Active NPI
Marien Massiel Bournes, CPHT
- Pharmacy Technician
- Houston, TX
National Provider Identifier
1104124270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 177302
- Practice address
- 17511 Autumn Hills Dr
Houston, TX 77084-1176 - Phone
- (832) 495-5744
- NPI assigned
- Mar 14, 2011
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 177302 | TX | Primary |
Addresses
Primary practice location
17511 Autumn Hills Dr
Houston, TX 77084-1176
Mailing address
17511 Autumn Hills Dr
Houston, TX 77084-1176
Phone (832) 495-5744
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 |
|---|---|---|---|
| 177302 | TX | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300060800000",
"number": "1104124270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17511 AUTUMN HILLS DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770841176",
"telephone_number": "832-495-5744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17511 AUTUMN HILLS DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770841176",
"telephone_number": "832-495-5744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOURNES",
"first_name": "MARIEN",
"middle_name": "MASSIEL",
"name_prefix": "Ms.",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-14",
"last_updated": "2011-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TX",
"license": "177302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.