Rose Ann Cardona

Individual provider Active NPI Pharmacist · Alice, TX

NPI 1487960183 · NPPES record last updated May 8, 2013

Key facts

NPI
1487960183
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
34037 (TX)
Practice address
1115 E Main St
Alice, TX 78332-5046
Phone
(361) 664-1344
Fax
(361) 668-4920
NPI assigned
Aug 19, 2010
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
34037TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
H-E-B, LP Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 34037 TX Yes

Addresses

Primary practice location

1115 E Main St
Alice, TX 78332-5046

Mailing address

1115 E Main St
Alice, TX 78332-5046
Phone (361) 664-1344

Other providers in Alice, TX

All providers in Alice, TX · Pharmacist in Texas

Sources for this page

Verify at the official NPI Registry.