Estela Marisa Medina-Ontiveros, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

43160 Issued in TX

Practice address

1576 Lomaland Dr
El Paso, TX 79935-4202

Phone

(915) 595-0409

Fax

(915) 595-3997

NPI assigned

Feb 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1235721499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 LOMALAND DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799354202",
            "telephone_number": "915-595-0409",
            "fax_number": "915-595-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1576 LOMALAND DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799354202",
            "telephone_number": "915-595-0409",
            "fax_number": "915-595-3997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14476 Horizon Blvd Ste J",
            "address_purpose": "LOCATION",
            "city": "Horizon City",
            "state": "TX",
            "postal_code": "799288579",
            "country_code": "US",
            "telephone_number": "915-852-8884",
            "fax_number": "915-852-1727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA-ONTIVEROS",
        "first_name": "ESTELA",
        "middle_name": "MARISA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "43160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Supplies of USA LLC
• Medical Vip Services PLLC
• Medico Clinical Laboratories
• Medimount Clinic PLLC (Canyon Family Clinic)
• Rocio Elisa Medina Martinez
• Andrianna Michelle Medina
• Christopher Medina, LVN
• Desiree Medina, FNP
• Eliael Medina, MD
• Elizabeth Medina, MD

• Pharmacist in El Paso, TX
• Providers in El Paso, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.

Verify at the official NPI Registry.