Active NPI
Stefani Breaux
- Pharmacist
- Atascocita, TX
National Provider Identifier
1710315908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 53750
- Practice address
- 6931 FM 1960 Rd E
Atascocita, TX 77346-2705 - Phone
- (281) 318-2238
- NPI assigned
- Oct 24, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 53750 | TX | Primary |
| Pharmacist | 183500000X | PST.020255 | LA |
Addresses
Primary practice location
6931 FM 1960 Rd E
Atascocita, TX 77346-2705
Mailing address
6931 FM 1960 Rd E
Atascocita, TX 77346-2705
Phone (281) 318-2238
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PST.020255 | LA | MD | Pharmacist |
| 53750 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382572800000",
"number": "1710315908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6931 FM 1960 RD E",
"city": "ATASCOCITA",
"state": "TX",
"postal_code": "773462705",
"telephone_number": "281-318-2238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6931 FM 1960 RD E",
"city": "ATASCOCITA",
"state": "TX",
"postal_code": "773462705",
"telephone_number": "281-318-2238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREAUX",
"first_name": "STEFANI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-24",
"last_updated": "2013-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "53750",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.020255",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atascocita, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.