Active NPI
Robert L Soza, PHARMACIST
- Pharmacist
- Alpine, TX
National Provider Identifier
1245344019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16603
- Practice address
- 504 E Avenue E
Alpine, TX 79830-4816 - Phone
- (432) 837-3931
- Fax
- (432) 837-5033
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- 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 | 16603 | TX | Primary |
Addresses
Primary practice location
504 E Avenue E
Alpine, TX 79830-4816
Mailing address
504 E Avenue E
Alpine, TX 79830-4816
Phone (432) 837-3931
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 452201 | Other | NABP | |
| 110038 | Medicaid | TX |
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 |
|---|---|---|---|
| 16603 | TX | MD | Speech/Language/Hearing Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Drug Inc | Past | Accepting new patients |
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": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245344019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 E AVENUE E",
"city": "ALPINE",
"state": "TX",
"postal_code": "798304816",
"telephone_number": "432-837-3931",
"fax_number": "432-837-5033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 E AVENUE E",
"city": "ALPINE",
"state": "TX",
"postal_code": "798304816",
"telephone_number": "432-837-3931",
"fax_number": "432-837-5033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOZA",
"first_name": "ROBERT",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "16603",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "452201",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110038",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alpine, TX
- Lindsey Michelle Slater, LPC
- Laura Snodgrass, OTR
- Joanne Kay Soley-Thompson, P.T.
- Jose Manuel Soto-Hernandez, APRN-NP
- South Carolina Erica, Inc. (Food Basket Pharmacy #4)
- Sul Ross State University (Sul Ross Sports Medicine)
- Sunshine House, Inc.
- Tiffany Telesca, LPC-S
- Terlingua Isd
- Terrell County Isd
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.