Active NPI
Kimberly Raquel Denise Carr, CPHT
- Pharmacy Technician
- San Antonio, TX
National Provider Identifier
1609608660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 146288
- Practice address
- 9238 N Loop 1604 W
San Antonio, TX 78249-3526 - Phone
- (210) 682-3419
- NPI assigned
- Aug 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 146288 | TX | Primary |
Addresses
Primary practice location
9238 N Loop 1604 W
San Antonio, TX 78249-3526
Mailing address
18200 Blanco SPGS Apt 2017
San Antonio, TX 78258-4572
Phone (210) 995-5241
Other practice location 1
18200 Blanco Spgs Apt 2017
San Antonio, TX 78258-4572
Phone (210) 995-5241
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 |
|---|---|---|---|
| 146288 | 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": "1724025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1609608660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18200 BLANCO SPGS APT 2017",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584572",
"telephone_number": "210-995-5241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9238 N LOOP 1604 W",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782493526",
"telephone_number": "210-682-3419"
}
],
"practiceLocations": [
{
"address_1": "18200 Blanco Spgs Apt 2017",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782584572",
"country_code": "US",
"telephone_number": "210-995-5241",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARR",
"first_name": "KIMBERLY",
"middle_name": "RAQUEL DENISE",
"credential": "CPHT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-19",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TX",
"license": "146288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.