Active NPI
Colter Waylon Dees, RPH
- Pharmacist
- Lago Vista, TX
National Provider Identifier
1669229837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 73908
- Practice address
- PO Box 4493
Lago Vista, TX 78645-0001 - Phone
- (361) 695-4049
- NPI assigned
- May 4, 2024
- Sex
- Male
- 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 | 73908 | TX | Primary |
Addresses
Primary practice location
PO Box 4493
Lago Vista, TX 78645-0001
Mailing address
PO Box 4493
Lago Vista, TX 78645-0001
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73908 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714780800000",
"number": "1669229837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4493",
"city": "LAGO VISTA",
"state": "TX",
"postal_code": "786450001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 4493",
"city": "LAGO VISTA",
"state": "TX",
"postal_code": "786450001",
"telephone_number": "361-695-4049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEES",
"first_name": "COLTER",
"middle_name": "WAYLON",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-04",
"last_updated": "2024-05-04",
"certification_date": "2024-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "73908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lago Vista, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.