Active NPI
Amanda Ann De la Cruz, PHARMD
- Pharmacist
- Pearland, TX
National Provider Identifier
1467163402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 71520
- Practice address
- 3287 Broadway St
Pearland, TX 77581-4501 - Phone
- (281) 485-7843
- NPI assigned
- Dec 12, 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 71520 | TX | Primary |
Addresses
Primary practice location
3287 Broadway St
Pearland, TX 77581-4501
Mailing address
3287 Broadway St
Pearland, TX 77581-4501
Phone (281) 485-7843
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71520 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671062400000",
"number": "1467163402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3287 BROADWAY ST",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775814501",
"telephone_number": "281-485-7843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3287 BROADWAY ST",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775814501",
"telephone_number": "281-485-7843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA CRUZ",
"first_name": "AMANDA",
"middle_name": "ANN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-12",
"last_updated": "2022-12-15",
"certification_date": "2022-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "71520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearland, TX
- Amana K Day, THERAPIST
- Ashley Day, LCSW
- DCHH, LLC (Divine Connection Home Health)
- Dcoa Physician Associates PA (Diabetes America)
- Rio Glenda De Guzman, PT, RN
- Erika L De la Cruz, MHA, BSN, RN, NE-BC
- Leslie De la Cruz
- Ashley De la Fuente-Santana, MS, LPC
- Aliyah Marie De la Garza, BCBA
- James De Vera, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.