Active NPI
Zeina Elissa
- Pharmacist
- Richmond, TX
National Provider Identifier
1336822485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 69351
- Practice address
- 4110 Williams Way Blvd
Richmond, TX 77469-2502 - Phone
- (281) 239-7071
- NPI assigned
- Aug 7, 2023
- Last updated
- Aug 7, 2023
- 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 | 183500000X | 69351 | TX | Primary |
Addresses
Primary practice location
4110 Williams Way Blvd
Richmond, TX 77469-2502
Mailing address
4110 Williams Way Blvd
Richmond, TX 77469-2502
Phone (281) 239-7071
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 |
|---|---|---|---|
| 69351 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | 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": "1691366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1336822485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4110 WILLIAMS WAY BLVD",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774692502",
"telephone_number": "281-239-7071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4110 WILLIAMS WAY BLVD",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774692502",
"telephone_number": "281-239-7071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELISSA",
"first_name": "ZEINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-07",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "69351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, TX
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- Elegant Dental Richmond, PLLC
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- Elite Behavior Center LLC
- Elite Caregiver LLC
- Elite Chiropractic & Injury
- Elite Practitioners of Texas LLC
- Elixir Medical Supplies, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.