Active NPI
Lawrence M Elattrache, PHARMACIST
- Pharmacist
- Abilene, TX
National Provider Identifier
1124355482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 27887
- Practice address
- 991 N Willis St
Abilene, TX 79603-4620 - Phone
- (325) 676-2392
- Fax
- (325) 676-8239
- NPI assigned
- Nov 6, 2009
- Sex
- Male
- 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 | 27887 | TX | Primary |
Addresses
Primary practice location
991 N Willis St
Abilene, TX 79603-4620
Mailing address
991 N Willis St
Abilene, TX 79603-4620
Phone (325) 676-2392
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 |
|---|---|---|---|
| 27887 | TX | MD | General Practice Dentistry |
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 and National Provider Directory roles.
-
- Pharmacy
- Abilene, TX
- NPI 1194730259
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257465600000",
"number": "1124355482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "991 N WILLIS ST",
"city": "ABILENE",
"state": "TX",
"postal_code": "796034620",
"telephone_number": "325-676-2392",
"fax_number": "325-676-8239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "991 N WILLIS ST",
"city": "ABILENE",
"state": "TX",
"postal_code": "796034620",
"telephone_number": "325-676-2392",
"fax_number": "325-676-8239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELATTRACHE",
"first_name": "LAWRENCE",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-06",
"last_updated": "2009-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "27887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.