Active NPI
Laci Ann Bernal
- Pharmacist
- Falfurrias, TX
National Provider Identifier
1629791108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 65367
- Practice address
- 700 S Saint Marys St
Falfurrias, TX 78355-4365 - Phone
- (361) 325-2910
- NPI assigned
- Sep 20, 2022
- Last updated
- Sep 20, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 65367 | TX | Primary |
Addresses
Primary practice location
700 S Saint Marys St
Falfurrias, TX 78355-4365
Mailing address
159 E County Road 2130
Kingsville, TX 78363-8867
Phone (361) 522-1715
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NA | H-E-B, LP |
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 |
|---|---|---|---|
| 65367 | TX | MD | Pharmacist |
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": "1663632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1629791108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 E COUNTY ROAD 2130",
"city": "KINGSVILLE",
"state": "TX",
"postal_code": "783638867",
"telephone_number": "361-522-1715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S SAINT MARYS ST",
"city": "FALFURRIAS",
"state": "TX",
"postal_code": "783554365",
"telephone_number": "361-325-2910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNAL",
"first_name": "LACI",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-20",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "65367",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "Y",
"affiliationName": "H-E-B, LP",
"address_1": "800 S Saint Marys St",
"city": "Falfurrias",
"state": "TX",
"country_code": "US",
"postal_code": "78355",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Falfurrias, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.