Active NPI
Jominique Brown
- Pharmacy Technician
- Edna, TX
National Provider Identifier
1689392870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- Practice address
- 103 W Elm St
Edna, TX 77957-2703 - Phone
- (361) 781-0789
- NPI assigned
- Aug 15, 2022
- Last updated
- Aug 15, 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | NU | Primary |
Addresses
Primary practice location
103 W Elm St
Edna, TX 77957-2703
Mailing address
103 W Elm St
Edna, TX 77957-2703
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | N/A | ||
| CONNECT URL | N/A |
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 |
|---|---|---|---|
| H-E-B, LP | Current | Accepting new patients | |
| H-E-B, LP | Past | Accepting new patients |
Locations
103 W Elm St
Edna, TX 77957
Phone (361) 781-0789
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": "1660521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660521600000",
"number": "1689392870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 W ELM ST",
"city": "EDNA",
"state": "TX",
"postal_code": "779572703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 W ELM ST",
"city": "EDNA",
"state": "TX",
"postal_code": "779572703",
"telephone_number": "361-781-0789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JOMINIQUE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-15",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "N/A",
"affiliation": "N",
"address_1": "103 W Elm St",
"city": "Edna",
"state": "TX",
"country_code": "US",
"postal_code": "779572703",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "N/A",
"affiliation": "N",
"address_1": "103 W Elm St",
"city": "Edna",
"state": "TX",
"country_code": "US",
"postal_code": "779572703",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Edna, TX
- Carrie L Anderson, FNP
- Martha Avila-Adame, FNP-C
- Marco L Barrera
- Gayla Baker Beaudoin
- Berkeley Eye Institute, PLLC (Berkeley Eye Center)
- Bruce W Rogers (Rogers Pharmacy #6)
- Sarah Bubela, LCSW
- Care Inn of Edna LLC (Care Inn of Edna)
- Citizens Medical Center County of Victoria (Southbrooke Manor Nursing and Rehabilitation Center)
- City of Edna Volunteer Ambulance Service
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.