Individual provider Active NPI

Damiana Luera Welch

  • Pharmacy Technician
  • Pasadena, TX
National Provider Identifier
1164175956
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
290648 Issued in TX
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
290648TXMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
H-E-B, LP CurrentSince Feb 6, 2022 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.

Verify at the official NPI Registry.