Active NPI
Clarissa Casarez
- Pharmacy Technician
- Laredo, TX
National Provider Identifier
1386362952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 208342
- Practice address
- 210 W del Mar Blvd
Laredo, TX 78041-2205 - Phone
- (956) 712-3251
- Fax
- (956) 712-3252
- NPI assigned
- Aug 18, 2022
- Last updated
- Aug 18, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 208342 | TX | Primary |
Addresses
Primary practice location
210 W del Mar Blvd
Laredo, TX 78041-2205
Mailing address
210 W del Mar Blvd
Laredo, TX 78041-2205
Phone (956) 712-3251
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | NA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | C2843074@HEB.COM |
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 |
|---|---|---|---|
| 208342 | TX | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H-E-B, LP | Past | Accepting new patients |
Interoperability endpoints
- c2843074@heb.com
Organizations & group practices 1
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": "1660780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1386362952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 W DEL MAR BLVD",
"city": "LAREDO",
"state": "TX",
"postal_code": "780412205",
"telephone_number": "956-712-3251",
"fax_number": "956-712-3252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W DEL MAR BLVD",
"city": "LAREDO",
"state": "TX",
"postal_code": "780412205",
"telephone_number": "956-712-3251",
"fax_number": "956-712-3252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASAREZ",
"first_name": "CLARISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-18",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TX",
"license": "208342",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "NA",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "C2843074@HEB.COM",
"affiliation": "N",
"address_1": "210 W Del Mar Blvd",
"city": "Laredo",
"state": "TX",
"country_code": "US",
"postal_code": "780412205",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.