Angela S Whatley, CPHT
Individual provider Active NPI Pharmacy Technician · Bridgeport, TX
NPI 1477667673 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1477667673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- 290101040752404 (TX)
- Practice address
- 1026 Halsell St
Bridgeport, TX 76426-3030 - Phone
- (940) 683-2950
- Fax
- (940) 683-8059
- NPI assigned
- Aug 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 290101040752404 | TX | MD | Pharmacy Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 290101040752404 | TX | Yes |
Addresses
Primary practice location
1026 Halsell St
Bridgeport, TX 76426-3030
Mailing address
1037 County Road 4781
Boyd, TX 76023-5430
Phone (940) 399-8577
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125962 | Other | TX | CPHT |
Other providers in Bridgeport, TX
- Webb Chiropractic PLLC
- James Jarrett Webb
- West 380 Family Care Facility
- West 380 Nursing Center
- West 380 Nursing Home Facility
- Wise Clinical Care Associates
- Wise County Medical & Surgical Association
- Wise County Special Education Cooperative
- Patricia R Young
- Young'S Eye Center, P.a.
All providers in Bridgeport, TX · Pharmacy Technician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.