Active NPI
Cortlyn Brenae' Lovelace, PHARMD
- Pharmacist
- Humble, TX
National Provider Identifier
1619302718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 53185
- Practice address
- 8789 FM 1960 Bypass Rd W
Humble, TX 77338-4021 - Phone
- (281) 548-1020
- NPI assigned
- Sep 8, 2013
- Last updated
- Dec 3, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19959 | LA | |
| Pharmacist | 183500000X | 53185 | TX | Primary |
Addresses
Primary practice location
8789 FM 1960 Bypass Rd W
Humble, TX 77338-4021
Mailing address
8789 FM 1960 Bypass Rd W
Humble, TX 77338-4021
Phone (281) 548-1020
Other practice location 1
9194 Mansfield Rd
Shreveport, LA 71118-3123
Phone (318) 687-7272
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19959 | LA | MD | Pharmacist |
| 53185 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients | |
| Louisiana CVS Pharmacy LLC | Past | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 3
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": "1378598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1619302718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8789 FM 1960 BYPASS RD W",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773384021",
"telephone_number": "281-548-1020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8789 FM 1960 BYPASS RD W",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773384021",
"telephone_number": "281-548-1020"
}
],
"practiceLocations": [
{
"address_1": "9194 Mansfield Rd",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711183123",
"country_code": "US",
"telephone_number": "318-687-7272",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOVELACE",
"first_name": "CORTLYN",
"middle_name": "BRENAE'",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-08",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "19959",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "53185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Humble, TX
- Raul Guillermo Lopez Valle, MD
- Caitlin R Lopez, RBT
- Serena Marie Lopez, MSN, RN, FNP-BC
- Lou-Al Cardiac Center, PLLC
- Nyla Ayana Love
- Lovely Case Management & Assessment / Training Services LLC
- Loving Arms Health Care Services
- Loving Arms Senior Activity Center
- Loving Touch Health Services, LLC
- Cinthya Yabar Lowder, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.