Individual provider Active NPI

Diane Carol Damrau, RPH

  • Pharmacist
  • Richardson, TX
National Provider Identifier
1356791248
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
36456 Issued in TX
Practice address
1300 E Arapaho Rd Ste 101
Richardson, TX 75081-2469
Phone
(888) 777-5547
Fax
(888) 777-5645
NPI assigned
Jun 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 36456 TX Primary

Addresses

Primary practice location

1300 E Arapaho Rd Ste 101
Richardson, TX 75081-2469

Mailing address

1300 E Arapaho Rd Ste 101
Richardson, TX 75081-2469
Phone (888) 777-5547

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
36456TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1356791248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E ARAPAHO RD STE 101",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812469",
            "telephone_number": "888-777-5547",
            "fax_number": "888-777-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E ARAPAHO RD STE 101",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812469",
            "telephone_number": "888-777-5547",
            "fax_number": "888-777-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMRAU",
        "first_name": "DIANE",
        "middle_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "36456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; 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.