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
- Last updated
- 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, 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": "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
- Allison Nicole Eggena, ATC
- Princess Dashae Eghianruwa, PMHNP
- Eh of West Texas, LP (Enhabit Hospice)
- Eh of West Texas, LP (Enhabit Home Health)
- Timothy John Ehrhart, LMFT
- Selina A Elder
- Elevate Counseling and Wellness Services, PLLC
- Daniel Norman Elgera, NP
- Alejandro Jose Elias Vazquez, DC
- Emily Grace Elias, DC
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.