Individual provider Active NPI

Audrey Ardelia Karen Warner, PHARMD

  • Pharmacist
  • Waco, TX
National Provider Identifier
1497596456
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
74523 Issued in TX
Practice address
1821 S Valley Mills Dr
Waco, TX 76711-2118
Phone
(254) 757-3344
NPI assigned
Jun 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 74523 TX Primary

Addresses

Primary practice location

1821 S Valley Mills Dr
Waco, TX 76711-2118

Mailing address

1821 S Valley Mills Dr
Waco, TX 76711-2118
Phone (254) 757-3344

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
74523TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
H-E-B, LP CurrentSince Jun 9, 2024 Accepting new patients
H-E-B, LP PastSince Jun 9, 2024 Accepting new patients

Locations

1821 S Valley Mills Dr
Waco, TX 76711
Phone (254) 754-3344

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": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1497596456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 S VALLEY MILLS DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767112118",
            "telephone_number": "254-757-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 S VALLEY MILLS DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767112118",
            "telephone_number": "254-757-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "AUDREY",
        "middle_name": "ARDELIA KAREN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "74523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.