Active NPI
Jennifer Ngoc La, PHARMD
- Pharmacist
- Arlington, TX
National Provider Identifier
1245886423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 65266
- Practice address
- 2200 E Pioneer Pkwy
Arlington, TX 76010-5243 - Phone
- (817) 860-9510
- NPI assigned
- Aug 14, 2019
- Last updated
- Aug 14, 2019
- 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 | 65266 | TX | Primary |
Addresses
Primary practice location
2200 E Pioneer Pkwy
Arlington, TX 76010-5243
Mailing address
4325 Presto Cir
Grand Prairie, TX 75052-4339
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65266 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1565740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565740800000",
"number": "1245886423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4325 PRESTO CIR",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750524339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 E PIONEER PKWY",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760105243",
"telephone_number": "817-860-9510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LA",
"first_name": "JENNIFER",
"middle_name": "NGOC",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-14",
"last_updated": "2019-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "65266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
- L.O.T.U.S. Rising Unbound Recovery & Wellness Center LLC
- L&C Cares LLC
- L&S Assisted Living, LLC (New Era Assisted Living)
- La Caridad Injury & Rehab Center, LLC (Proactive Clinic)
- James T La, D.D.S
- Laboratory Corporation of America
- Laboratory Corporation of America
- Laboratory Corporation of America
- Laboratory Corporation of America
- Laboratory Corporation of America
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.