Active NPI
Damiana Luera Welch
- Pharmacy Technician
- Pasadena, TX
National Provider Identifier
1164175956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 290648
- Practice address
- 4701 East Blvd
Pasadena, TX 77505 - Phone
- (281) 930-9366
- Fax
- (866) 597-9374
- NPI assigned
- Feb 1, 2022
- Last updated
- Feb 1, 2022
- 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 | 290648 | TX | Primary |
Addresses
Primary practice location
4701 East Blvd
Pasadena, TX 77505
Mailing address
4701 East Blvd
Deer Park, TX 77536-5404
Phone (281) 930-9366
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | n/a |
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 |
|---|---|---|---|
| 290648 | TX | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H-E-B, LP | Current | Accepting new patients |
Locations
4701 East Blvd
Deer Park, TX 77536
Phone (281) 930-9300
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": "1643673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643673600000",
"number": "1164175956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 EAST BLVD",
"city": "DEER PARK",
"state": "TX",
"postal_code": "775365404",
"telephone_number": "281-930-9366",
"fax_number": "866-597-9374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 EAST BLVD",
"city": "PASADENA",
"state": "TX",
"postal_code": "77505",
"telephone_number": "281-930-9366",
"fax_number": "866-597-9374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "DAMIANA",
"middle_name": "LUERA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-01",
"last_updated": "2022-02-01",
"certification_date": "2022-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TX",
"license": "290648",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "n/a",
"affiliation": "N",
"endpointDescription": "4701 East blvd deer park texas 77505",
"address_1": "4701 East blvd",
"city": "pasadena",
"state": "TX",
"country_code": "US",
"postal_code": "77505",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.