Individual provider Active NPI

Kelly Raymond Lamotte, PHARM D.

  • Pharmacist
  • Houston, TX
National Provider Identifier
1295062776
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
38171 Issued in TX
Practice address
220 S Wayside Dr
Houston, TX 77011-4632
Phone
(713) 924-6963
Fax
(713) 924-4192
NPI assigned
Nov 4, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 38171 TX Primary

Addresses

Primary practice location

220 S Wayside Dr
Houston, TX 77011-4632

Mailing address

220 S Wayside Dr
Houston, TX 77011-4632
Phone (713) 924-6963

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

LicenseStateTypeSpecialty
38171TXMDSpeech-Language Assistant

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, 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": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257292800000",
    "number": "1295062776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S WAYSIDE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770114632",
            "telephone_number": "713-924-6963",
            "fax_number": "713-924-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S WAYSIDE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770114632",
            "telephone_number": "713-924-6963",
            "fax_number": "713-924-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMOTTE",
        "first_name": "KELLY",
        "middle_name": "RAYMOND",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "38171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; 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.