Individual provider Active NPI

Connie Raemsch

  • Pharmacist
  • Cedar Creek, TX
National Provider Identifier
1588053888
Registry record updated Jan 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
30275 Issued in TX
Practice address
610 Pope BND N
Cedar Creek, TX 78612-3485
Phone
(512) 940-2842
NPI assigned
Jan 10, 2015
Last updated
Jan 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 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 30275 TX Primary

Addresses

Primary practice location

610 Pope BND N
Cedar Creek, TX 78612-3485

Mailing address

610 Pope BND N
Cedar Creek, TX 78612-3485
Phone (512) 940-2842

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

LicenseStateTypeSpecialty
30275TXMDGerontology Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1420848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420848000000",
    "number": "1588053888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 POPE BND N",
            "city": "CEDAR CREEK",
            "state": "TX",
            "postal_code": "786123485",
            "telephone_number": "512-940-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 POPE BND N",
            "city": "CEDAR CREEK",
            "state": "TX",
            "postal_code": "786123485",
            "telephone_number": "512-940-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAEMSCH",
        "first_name": "CONNIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-10",
        "last_updated": "2015-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "30275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Creek, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.