Individual provider Active NPI

Kylie Elizabeth Annen, PHARM.D.

  • Pharmacist
  • Lubbock, TX
National Provider Identifier
1558747667
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
56858 Issued in TX
Practice address
7302 University Ave
Lubbock, TX 79423-1423
Phone
(806) 748-6456
NPI assigned
Jul 31, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 56858 TX Primary

Addresses

Primary practice location

7302 University Ave
Lubbock, TX 79423-1423

Mailing address

905 Ironton Dr
Lubbock, TX 79416-5909
Phone (972) 834-5609

Other names 1

  • Kylie Elizabeth Schott Former name

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
56858TXMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438300800000",
    "number": "1558747667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 IRONTON DR",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794165909",
            "telephone_number": "972-834-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7302 UNIVERSITY AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231423",
            "telephone_number": "806-748-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNEN",
        "first_name": "KYLIE",
        "middle_name": "ELIZABETH",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "56858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLIE",
            "last_name": "SCHOTT",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.