Active NPI
Mariamme Ferreiro
- Pharmacist
- Lavon, TX
National Provider Identifier
1659874113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 40291
- Practice address
- 440 Highway 78 Ste 230
Lavon, TX 75166-1266 - Phone
- (972) 843-7010
- Fax
- (972) 674-2919
- NPI assigned
- Mar 12, 2018
- Last updated
- Nov 3, 2021
- 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 | 40291 | TX | Primary |
Addresses
Primary practice location
440 Highway 78 Ste 230
Lavon, TX 75166-1266
Mailing address
440 Highway 78 Ste 230
Lavon, TX 75166-1266
Phone (972) 843-7010
Other names 1
- Mariamme Kola
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neutron Lab LLC | Past | Accepting new patients | |
| Treasure Pharmacy | 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.
-
- Community/Retail Pharmacy
- Arlington, TX
- NPI 1245583723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635897600000",
"number": "1659874113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 HIGHWAY 78 STE 230",
"city": "LAVON",
"state": "TX",
"postal_code": "751661266",
"telephone_number": "972-843-7010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 HIGHWAY 78 STE 230",
"city": "LAVON",
"state": "TX",
"postal_code": "751661266",
"telephone_number": "972-843-7010",
"fax_number": "972-674-2919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERREIRO",
"first_name": "MARIAMME",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-12",
"last_updated": "2021-11-03",
"certification_date": "2021-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "40291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIAMME",
"last_name": "KOLA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lavon, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.