Active NPI
Vicki La, PHARMD
- Pharmacist
- Beaumont, TX
National Provider Identifier
1659092898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 71225
- Practice address
- 3080 College St
Beaumont, TX 77701-4606 - Phone
- (409) 212-5000
- NPI assigned
- Sep 6, 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 | 71225 | TX | Primary |
Addresses
Primary practice location
3080 College St
Beaumont, TX 77701-4606
Mailing address
3223 Vista Lake Dr
Sugar Land, TX 77478-4423
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71225 | Other | TX | TEXAS STATE BOARD OF PHARMACY |
| 1379608 | Other | NATIONAL ASSOCIATION OF BOARDS OF PHARMACY |
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 |
|---|---|---|---|
| 71225 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1659092898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3223 VISTA LAKE DR",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774784423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3080 COLLEGE ST",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777014606",
"telephone_number": "409-212-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LA",
"first_name": "VICKI",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-06",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "71225",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS STATE BOARD OF PHARMACY",
"identifier": "71225",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL ASSOCIATION OF BOARDS OF PHARMACY",
"identifier": "1379608",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.