Active NPI
Jasmine Carrasco
- Pharmacy Technician
- Odessa, TX
National Provider Identifier
1396334744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 168121
- Practice address
- 540 W 5TH St Ste 100
Odessa, TX 79761-5035 - Phone
- (432) 332-1623
- NPI assigned
- Jan 11, 2021
- 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 | 168121 | TX | Primary |
Addresses
Primary practice location
540 W 5TH St Ste 100
Odessa, TX 79761-5035
Mailing address
540 W 5TH St Ste 100
Odessa, TX 79761-5035
Phone (432) 332-1623
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | N/A |
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 |
|---|---|---|---|
| 168121 | TX | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610323200000",
"number": "1396334744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 W 5TH ST STE 100",
"city": "ODESSA",
"state": "TX",
"postal_code": "797615035",
"telephone_number": "432-332-1623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 W 5TH ST STE 100",
"city": "ODESSA",
"state": "TX",
"postal_code": "797615035",
"telephone_number": "432-332-1623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRASCO",
"first_name": "JASMINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-11",
"last_updated": "2021-01-11",
"certification_date": "2021-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TX",
"license": "168121",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "N/A",
"affiliation": "N",
"address_1": "540 W 5th St Ste 100",
"city": "Odessa",
"state": "TX",
"country_code": "US",
"postal_code": "797615035",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.