Individual provider Active NPI

Lisa Christina Krawczynski, RPH

  • Pharmacist
  • Los Fresnos, TX
National Provider Identifier
1295336469
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
39025 Issued in TX
Practice address
Walmart Supercenter
1004 W. Ocean Blvd.
Los Fresnos, TX 78566
Phone
(956) 233-1822
Fax
(956) 233-1798
NPI assigned
Nov 4, 2020
Last updated
Nov 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 39025 TX Primary

Addresses

Primary practice location

Walmart Supercenter
1004 W. Ocean Blvd.
Los Fresnos, TX 78566

Mailing address

122 Chachalaca Dr
Bayview, TX 78566-4476
Phone (956) 343-8684

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
39025TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1295336469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 CHACHALACA DR",
            "city": "BAYVIEW",
            "state": "TX",
            "postal_code": "785664476",
            "telephone_number": "956-343-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WALMART SUPERCENTER",
            "address_2": "1004 W. OCEAN BLVD.",
            "city": "LOS FRESNOS",
            "state": "TX",
            "postal_code": "78566",
            "telephone_number": "956-233-1822",
            "fax_number": "956-233-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAWCZYNSKI",
        "first_name": "LISA",
        "middle_name": "CHRISTINA",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "39025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Fresnos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.