Active NPI
Kirsten Michelle Edwards, PHARMACY TECHNICIAN
- Pharmacy Technician
- Port Lavaca, TX
National Provider Identifier
1497535140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 195159
- Practice address
- 101 Calhoun PLZ
Port Lavaca, TX 77979-2423 - Phone
- (361) 552-4563
- NPI assigned
- Oct 2, 2023
- 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 | 195159 | TX | Primary |
Addresses
Primary practice location
101 Calhoun PLZ
Port Lavaca, TX 77979-2423
Mailing address
101 Calhoun PLZ
Port Lavaca, TX 77979-2423
Phone (361) 552-4563
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 |
|---|---|---|---|
| 195159 | TX | MD | Pharmacy Technician |
Practice roles
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.
-
- Community/Retail Pharmacy
- Port Lavaca, TX
- NPI 1043329485
-
- Community/Retail Pharmacy
- Georgetown, TX
- NPI 1770393217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1497535140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 CALHOUN PLZ",
"city": "PORT LAVACA",
"state": "TX",
"postal_code": "779792423",
"telephone_number": "361-552-4563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CALHOUN PLZ",
"city": "PORT LAVACA",
"state": "TX",
"postal_code": "779792423",
"telephone_number": "361-552-4563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "KIRSTEN",
"middle_name": "MICHELLE",
"credential": "PHARMACY TECHNICIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-02",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TX",
"license": "195159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Lavaca, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.