Diana Powers
Individual provider Active NPI Pharmacist · Linden, TX
NPI 1649644378 · NPPES record last updated Nov 18, 2015
Key facts
- NPI
- 1649644378
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 34579 (TX)
- Practice address
- 702 W Houston St
Linden, TX 75563-5441 - Phone
- (903) 756-7923
- Fax
- (903) 756-7926
- NPI assigned
- Nov 18, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34579 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Powers Pharmacy No 1 Inc | Past |
Accepting new patients | |
| Powers Pharmacy No 1 Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 34579 | TX | Yes |
Addresses
Primary practice location
702 W Houston St
Linden, TX 75563-5441
Mailing address
PO Box 630
Linden, TX 75563-0630
Phone (903) 756-7923
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148117 | Medicaid | TX |
Other providers in Linden, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.