NPIMap

Individual provider Active NPI

Elizabeth Ploch, R. PH.

  • Pharmacist
  • Conroe, TX
National Provider Identifier
1285901371
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
37661 Issued in TX
Practice address
4870 W Davis St
Conroe, TX 77304-4280
Phone
(936) 760-3883
Fax
(936) 760-3888
NPI assigned
Nov 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 37661 TX Primary

Addresses

Primary practice location

4870 W Davis St
Conroe, TX 77304-4280

Mailing address

4870 W Davis St
Conroe, TX 77304-4280
Phone (936) 760-3883

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
37661TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1285901371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4870 W DAVIS ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773044280",
            "telephone_number": "936-760-3883",
            "fax_number": "936-760-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4870 W DAVIS ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773044280",
            "telephone_number": "936-760-3883",
            "fax_number": "936-760-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOCH",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "R. PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "37661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.