Active NPI
Alica Ann Mofield
- Pharmacist
- Paris, TX
National Provider Identifier
1538769690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 36532
- Practice address
- 3855 Lamar Ave
Paris, TX 75462-5210 - Phone
- (903) 785-8734
- Fax
- (903) 784-0256
- NPI assigned
- Oct 28, 2020
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 36532 | TX | Primary |
Addresses
Primary practice location
3855 Lamar Ave
Paris, TX 75462-5210
Mailing address
715 38TH St SE
Paris, TX 75462-6603
Phone (903) 732-7763
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 |
|---|---|---|---|
| 36532 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1538769690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 38TH ST SE",
"city": "PARIS",
"state": "TX",
"postal_code": "754626603",
"telephone_number": "903-732-7763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3855 LAMAR AVE",
"city": "PARIS",
"state": "TX",
"postal_code": "754625210",
"telephone_number": "903-785-8734",
"fax_number": "903-784-0256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOFIELD",
"first_name": "ALICA",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-28",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "36532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paris, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.