Active NPI
Laura J McDougall
- Pharmacy Technician
- Bryan, TX
National Provider Identifier
1134909815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 43326
- Practice address
- 725 E Villa Maria Rd Ste 1300
Bryan, TX 77802-5320 - Phone
- (979) 822-1850
- NPI assigned
- Oct 2, 2023
- 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 | 43326 | TX | Primary |
Addresses
Primary practice location
725 E Villa Maria Rd Ste 1300
Bryan, TX 77802-5320
Mailing address
16353 Woodlake Dr
College Station, TX 77845-8265
Phone (979) 690-6133
Other names 1
- Laura J Graham
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 |
|---|---|---|---|
| 43326 | TX | MD | Pharmacy Technician |
Practice roles
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1134909815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16353 WOODLAKE DR",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778458265",
"telephone_number": "979-690-6133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 E VILLA MARIA RD STE 1300",
"city": "BRYAN",
"state": "TX",
"postal_code": "778025320",
"telephone_number": "979-822-1850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDOUGALL",
"first_name": "LAURA",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-02",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TX",
"license": "43326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "GRAHAM",
"middle_name": "J",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.