Active NPI
Nicole Lara
- Pharmacy Technician
- Bay City, TX
National Provider Identifier
1114516622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 141426
- Practice address
- 2700 7TH St
Bay City, TX 77414-5305 - Phone
- (979) 245-1881
- NPI assigned
- Jan 11, 2021
- Last updated
- Jan 11, 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 141426 | TX | Primary |
Addresses
Primary practice location
2700 7TH St
Bay City, TX 77414-5305
Mailing address
2601 Wofford Rd
Bay City, TX 77414-3255
Phone (254) 644-2887
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NA |
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 |
|---|---|---|---|
| 141426 | TX | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H-E-B, LP | Past | Accepting new patients |
Organizations & group practices 1
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": "1610323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610323200000",
"number": "1114516622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 WOFFORD RD",
"city": "BAY CITY",
"state": "TX",
"postal_code": "774143255",
"telephone_number": "254-644-2887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 7TH ST",
"city": "BAY CITY",
"state": "TX",
"postal_code": "774145305",
"telephone_number": "979-245-1881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARA",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-11",
"last_updated": "2021-01-11",
"certification_date": "2021-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TX",
"license": "141426",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "2700 7th St",
"city": "Bay City",
"state": "TX",
"country_code": "US",
"postal_code": "774145305",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bay City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.