Active NPI
Mertessa Espejo
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Big Spring, TX
National Provider Identifier
1497284392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 0021352
- Practice address
- 300 W Veterans Blvd RM 98
Big Spring, TX 79720-5566 - Phone
- (432) 268-2600
- NPI assigned
- Jun 6, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 0021352 | CO | Primary |
Addresses
Primary practice location
300 W Veterans Blvd RM 98
Big Spring, TX 79720-5566
Mailing address
300 W Veterans Blvd RM 98
Big Spring, TX 79720-5566
Other practice location 1
300 veterans boulevard
Big Spring, TX 79720
Phone (432) 263-7361 ext. 4836
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 |
|---|---|---|---|
| 0021352 | CO | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1497284392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W VETERANS BLVD RM 98",
"city": "BIG SPRING",
"state": "TX",
"postal_code": "797205566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W VETERANS BLVD RM 98",
"city": "BIG SPRING",
"state": "TX",
"postal_code": "797205566",
"telephone_number": "432-268-2600"
}
],
"practiceLocations": [
{
"address_1": "300 veterans boulevard",
"address_purpose": "LOCATION",
"city": "Big Spring",
"state": "TX",
"postal_code": "79720",
"country_code": "US",
"telephone_number": "432-263-7361 x4836",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESPEJO",
"first_name": "MERTESSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-06",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CO",
"license": "0021352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Big Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.