Active NPI
Kimberly Nicole Menchaca, PHARMD
- Pharmacist
- El Paso, TX
National Provider Identifier
1104599497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 68877
- Practice address
- 1607 N Zaragoza Rd
El Paso, TX 79936-7908 - Phone
- (915) 856-0071
- NPI assigned
- Aug 1, 2021
- 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 | 68877 | TX | Primary |
Addresses
Primary practice location
1607 N Zaragoza Rd
El Paso, TX 79936-7908
Mailing address
12949 Eastbrook Dr Apt 82
El Paso, TX 79938-5510
Phone (915) 540-6744
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 |
|---|---|---|---|
| 68877 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627776000000",
"number": "1104599497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12949 EASTBROOK DR APT 82",
"city": "EL PASO",
"state": "TX",
"postal_code": "799385510",
"telephone_number": "915-540-6744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1607 N ZARAGOZA RD",
"city": "EL PASO",
"state": "TX",
"postal_code": "799367908",
"telephone_number": "915-856-0071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENCHACA",
"first_name": "KIMBERLY",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-01",
"last_updated": "2021-08-01",
"certification_date": "2021-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "68877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.