Active NPI
Sarmistha Mazumder
- Pharmacist
- San Antonio, TX
National Provider Identifier
1194318170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 66229
- Practice address
- CVS Pharmacy #1057
9140 Guilbeau Rd,
San Antonio, TX 78250 - Phone
- (210) 520-5183
- NPI assigned
- Feb 19, 2021
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 66229 | TX | Primary |
Addresses
Primary practice location
CVS Pharmacy #1057
9140 Guilbeau Rd,
San Antonio, TX 78250
Mailing address
CVS Pharmacy
9140 Guilbeau Rd,
San Antonio, TX 78250
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 |
|---|---|---|---|
| 66229 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613692800000",
"number": "1194318170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CVS PHARMACY",
"address_2": "9140 GUILBEAU RD,",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CVS PHARMACY #1057",
"address_2": "9140 GUILBEAU RD,",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78250",
"telephone_number": "210-520-5183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZUMDER",
"first_name": "SARMISTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-19",
"last_updated": "2021-02-19",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "66229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.