Active NPI
Shalisha Allison Roberts
- Pharmacy Technician
- Conroe, TX
National Provider Identifier
1487234845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 301740
- Practice address
- 10200 Highway 242
Conroe, TX 77385-4383 - Phone
- (936) 525-1200
- NPI assigned
- Apr 10, 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 | 301740 | TX | Primary |
Addresses
Primary practice location
10200 Highway 242
Conroe, TX 77385-4383
Mailing address
10200 Highway 242
Conroe, TX 77385-4383
Phone (936) 525-1200
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NA | ||
| CONNECT URL | NA |
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 |
|---|---|---|---|
| 301740 | TX | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H-E-B, LP | Current | Accepting new patients | |
| H-E-B, LP | Past | Accepting new patients |
Locations
10200 Highway 242
Conroe, TX 77385
Phone (936) 525-1200
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": "1618012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618012800000",
"number": "1487234845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10200 HIGHWAY 242",
"city": "CONROE",
"state": "TX",
"postal_code": "773854383",
"telephone_number": "936-525-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10200 HIGHWAY 242",
"city": "CONROE",
"state": "TX",
"postal_code": "773854383",
"telephone_number": "936-525-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "SHALISHA",
"middle_name": "ALLISON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-10",
"last_updated": "2021-04-10",
"certification_date": "2021-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TX",
"license": "301740",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "10200 Highway 242",
"city": "Conroe",
"state": "TX",
"country_code": "US",
"postal_code": "773854383",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "10200 Highway 242",
"city": "Conroe",
"state": "TX",
"country_code": "US",
"postal_code": "773854383",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.