Active NPI
Kyla Rashelle Wells
- Pharmacist
- Pittsburg, TX
National Provider Identifier
1619691375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 37868
- Practice address
- 100 N Greer Blvd
Pittsburg, TX 75686-1409 - Phone
- (903) 856-3686
- NPI assigned
- Sep 27, 2022
- Last updated
- Sep 27, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14238 | OK | |
| Pharmacist | 183500000X | 03337841 | OH | |
| Pharmacist | 183500000X | 37868 | TX | Primary |
Addresses
Primary practice location
100 N Greer Blvd
Pittsburg, TX 75686-1409
Mailing address
843 Mayfield Dr
Boardman, OH 44512-6462
Phone (330) 531-0540
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kysterintexas@icloud.com |
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 |
|---|---|---|---|
| 37868 | TX | MD | General Practice Dentistry |
| 03337841 | OH | MD | Pharmacist |
| 14238 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients |
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": "1664236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1619691375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "843 MAYFIELD DR",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445126462",
"telephone_number": "330-531-0540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N GREER BLVD",
"city": "PITTSBURG",
"state": "TX",
"postal_code": "756861409",
"telephone_number": "903-856-3686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "KYLA",
"middle_name": "RASHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-27",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "14238",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03337841",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "37868",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kysterintexas@icloud.com",
"affiliation": "N",
"address_1": "100 N Greer Blvd",
"city": "Pittsburg",
"state": "TX",
"country_code": "US",
"postal_code": "756861409",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Pittsburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.