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
- Last updated
- Oct 16, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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
- Deming Pediatrics PLLC
- Raymond P Dickey, OD
- Connor Dieringer, DPT
- Discovery Medical Network Port Lavaca LLC
- Angela Marie-Garcia Dobbins, PA-C
- Epoch Pharmacy Solutions II LLC (Medicine Man Pharmacy-Port Lavaca)
- Ess of Port Lavaca LLC
- Leigh Ann Falcon, M.D.
- Gregorio Jose Robles Fernandez
- Finer Path Counseling
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.