Carrie Louise Landino, R PH
Individual provider Active NPI Pharmacist · Mathis, TX
NPI 1700477759 · NPPES record last updated Feb 2, 2021
Key facts
- NPI
- 1700477759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 27833 (TX)
- Practice address
- 213 E San Patricio Ave
Mathis, TX 78368-2347 - Phone
- (361) 547-2577
- Fax
- (361) 547-0778
- NPI assigned
- Feb 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27833 | TX | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | 27833 | TX | Yes |
Addresses
Primary practice location
213 E San Patricio Ave
Mathis, TX 78368-2347
Mailing address
213 E San Patricio Ave
Mathis, TX 78368-2347
Phone (361) 547-2577
Other providers in Mathis, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2021. 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.