Connie Stroud Ewald, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

27433 Issued in TX

Practice address

5001 N State Line Ave Ste C
Texarkana, TX 75503-2962

Phone

(800) 785-4197

Fax

(877) 737-9135

NPI assigned

Sep 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• RX Direct, Inc.

  • Long Term Care Pharmacy
  • Houston, TX
  • NPI 1649555749
  NPD (past)

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255438917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 STONERIDGE CIR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031460",
            "telephone_number": "903-838-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 N STATE LINE AVE STE C",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032962",
            "telephone_number": "800-785-4197",
            "fax_number": "877-737-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWALD",
        "first_name": "CONNIE",
        "middle_name": "STROUD",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "27433",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "9347",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "11840",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "12236",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "033937",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "17557",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evergreen Presbyterian Ministries of Texas, Inc.
• Evergreen Presbyterian Ministries of Texas, Inc.
• Evergreen Presbyterian Ministries of Texas, Inc.
• Evergreen Presbyterian Ministries of Texas, Inc.
• Evergreen Presbyterian Ministries of Texas, Inc.
• Exceed Health Clinic
• Express Care
• Express Care, LLC
• Eye Guys, LLC
• Eyemart Express LLC

• Pharmacist in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Pharmacist in Texas

• 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.

Verify at the official NPI Registry.