Active NPI
Victoria White
- Pharmacist
- Balch Springs, TX
National Provider Identifier
1245992403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 69282
- Practice address
- 12300 Lake June Rd
Balch Springs, TX 75180-1636 - Phone
- (972) 281-0180
- NPI assigned
- Oct 6, 2021
- Last updated
- Oct 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 69282 | TX | Primary |
Addresses
Primary practice location
12300 Lake June Rd
Balch Springs, TX 75180-1636
Mailing address
3907 Gilbert Ave Apt 1
Dallas, TX 75219-3806
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 |
|---|---|---|---|
| 69282 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633478400000",
"number": "1245992403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3907 GILBERT AVE APT 1",
"city": "DALLAS",
"state": "TX",
"postal_code": "752193806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12300 LAKE JUNE RD",
"city": "BALCH SPRINGS",
"state": "TX",
"postal_code": "751801636",
"telephone_number": "972-281-0180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "VICTORIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-06",
"last_updated": "2021-10-06",
"certification_date": "2021-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "69282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Balch Springs, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.