Active NPI
Vania Joy Pabelonia
- Pharmacist
- Dallas, TX
National Provider Identifier
1366991465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 62208
- Practice address
- 4907 Spring Ave Ste 101
Dallas, TX 75210-1316 - Phone
- (214) 565-8551
- Fax
- (214) 565-8541
- NPI assigned
- Sep 29, 2016
- Last updated
- Aug 25, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 062331 | NY | |
| Pharmacist | 183500000X | 62208 | TX | Primary |
Addresses
Primary practice location
4907 Spring Ave Ste 101
Dallas, TX 75210-1316
Mailing address
4907 Spring Ave Ste 101
Dallas, TX 75210-1316
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 |
|---|---|---|---|
| 062331 | NY | MD | Pharmacist |
| 62208 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661385600000",
"number": "1366991465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4907 SPRING AVE STE 101",
"city": "DALLAS",
"state": "TX",
"postal_code": "752101316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4907 SPRING AVE STE 101",
"city": "DALLAS",
"state": "TX",
"postal_code": "752101316",
"telephone_number": "214-565-8551",
"fax_number": "214-565-8541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PABELONIA",
"first_name": "VANIA JOY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-29",
"last_updated": "2022-08-25",
"certification_date": "2022-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "062331",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "62208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.