Active NPI
Karen Marie Ingram, RPH
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Henderson, TX
National Provider Identifier
1316446834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 38428
- Practice address
- 2415 US Highway 79 S
Henderson, TX 75654-4411 - Phone
- (903) 657-8596
- NPI assigned
- Feb 10, 2018
- Last updated
- Dec 3, 2020
- Sex
- Female
- Sole proprietor
- No
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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 38428 | TX | Primary |
Addresses
Primary practice location
2415 US Highway 79 S
Henderson, TX 75654-4411
Mailing address
2415 US Highway 79 S
Henderson, TX 75654-4411
Phone (903) 657-8596
Other practice location 1
3900 University Blvd
Tyler, TX 75799-6600
Phone (903) 566-5598
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
| License | State | Type | Specialty |
|---|---|---|---|
| 38428 | TX | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Texas L P | Past | Accepting new patients | |
| Kroger Texas LP | 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": "1518220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1316446834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 US HIGHWAY 79 S",
"city": "HENDERSON",
"state": "TX",
"postal_code": "756544411",
"telephone_number": "903-657-8596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 US HIGHWAY 79 S",
"city": "HENDERSON",
"state": "TX",
"postal_code": "756544411",
"telephone_number": "903-657-8596"
}
],
"practiceLocations": [
{
"address_1": "3900 University Blvd",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757996600",
"country_code": "US",
"telephone_number": "903-566-5598",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "INGRAM",
"first_name": "KAREN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-10",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "TX",
"license": "38428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.