Active NPI
Tommy La
- Pharmacist
- Brownwood, TX
National Provider Identifier
1336736354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 67668
- Practice address
- 401 W Commerce St
Brownwood, TX 76801-1701 - Phone
- (325) 643-9727
- NPI assigned
- Dec 23, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 183500000X | 67668 | TX | Primary |
Addresses
Primary practice location
401 W Commerce St
Brownwood, TX 76801-1701
Mailing address
1508 Dapplegrey LN
Austin, TX 78727-4618
Phone (512) 736-5374
Other practice location 1
1508 Dapplegrey Ln
Austin, TX 78727-4618
Phone (512) 736-5374
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67668 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608681600000",
"number": "1336736354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1508 DAPPLEGREY LN",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787274618",
"telephone_number": "512-736-5374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W COMMERCE ST",
"city": "BROWNWOOD",
"state": "TX",
"postal_code": "768011701",
"telephone_number": "325-643-9727"
}
],
"practiceLocations": [
{
"address_1": "1508 Dapplegrey Ln",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787274618",
"country_code": "US",
"telephone_number": "512-736-5374",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LA",
"first_name": "TOMMY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-23",
"last_updated": "2020-12-23",
"certification_date": "2020-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "67668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brownwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.