Active NPI
Marie Salvante Mendoza, RPH
- Pharmacist
- Richardson, TX
National Provider Identifier
1114254638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 38087
- Practice address
- 4201 E Renner Rd
Richardson, TX 75082-2811 - Phone
- (972) 234-0889
- Fax
- (972) 234-6254
- NPI assigned
- Nov 4, 2009
- Last updated
- Nov 4, 2009
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 38087 | TX | Primary |
Addresses
Primary practice location
4201 E Renner Rd
Richardson, TX 75082-2811
Mailing address
4201 E Renner Rd
Richardson, TX 75082-2811
Phone (972) 234-0889
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
- Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1257292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257292800000",
"number": "1114254638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 E RENNER RD",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750822811",
"telephone_number": "972-234-0889",
"fax_number": "972-234-6254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 E RENNER RD",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750822811",
"telephone_number": "972-234-0889",
"fax_number": "972-234-6254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "MARIE",
"middle_name": "SALVANTE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-04",
"last_updated": "2009-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "38087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
- Mend Speech Therapy
- Cecelia Mendez
- Henry J Mendez, LPC
- Mendha Primary Care PLLC (A2Z Primary Care and Med Spa)
- Mae-Lin Y Mendoza, LPC
- Carl Michael Mentesana, DDS
- Methodist Hospitals of Dallas (Methodist Richardson Medical Center)
- Methodist Hospitals of Dallas (Methodist Richardson Medical Center Pharmacy)
- Methodist Hospitals of Dallas (Methodist Richardson Medical Center Psychiatric Hospital)
- Methodist Hosptials of Dallas (Methodist Richardson Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.