Active NPI
Laura Ulrich
- Pharmacist
- Pflugerville, TX
National Provider Identifier
1225643380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61131
- Practice address
- 2013 Kelly LN
Pflugerville, TX 78660-7879 - Phone
- (512) 990-0814
- NPI assigned
- Sep 14, 2020
- Last updated
- Sep 14, 2020
- 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 | 61131 | TX | Primary |
Addresses
Primary practice location
2013 Kelly LN
Pflugerville, TX 78660-7879
Mailing address
1704 Mackenzie LN
Cedar Park, TX 78613-3577
Phone (817) 718-1440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 466880 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Soap.url |
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 |
|---|---|---|---|
| 61131 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600041600000",
"number": "1225643380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1704 MACKENZIE LN",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786133577",
"telephone_number": "817-718-1440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2013 KELLY LN",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786607879",
"telephone_number": "512-990-0814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULRICH",
"first_name": "LAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-14",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "61131",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "466880",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Soap.url",
"affiliation": "N",
"address_1": "2013 Kelly Ln",
"city": "Pflugerville",
"state": "TX",
"country_code": "US",
"postal_code": "786607879",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Pflugerville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.