Active NPI
Debora Lynn Willis-Tenczar, R.PH.
- Pharmacist
- Denison, TX
National Provider Identifier
1730518440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 29740
- Practice address
- 2300 W Morton St
Ste 121
Denison, TX 75020-1657 - Phone
- (903) 463-6979
- Fax
- (903) 463-6379
- NPI assigned
- Nov 3, 2013
- 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 | 29740 | TX | Primary |
Addresses
Primary practice location
2300 W Morton St
Ste 121
Denison, TX 75020-1657
Mailing address
2300 W Morton St
Ste 121
Denison, TX 75020-1657
Phone (903) 463-6979
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 |
|---|---|---|---|
| 29740 | TX | MD | Pharmacist |
Practice roles
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 and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Denison, TX
- NPI 1164942041
-
- Home Infusion Agency
- Denison, TX
- NPI 1437350824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383436800000",
"number": "1730518440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 W MORTON ST",
"address_2": "STE 121",
"city": "DENISON",
"state": "TX",
"postal_code": "750201657",
"telephone_number": "903-463-6979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 W MORTON ST",
"address_2": "STE 121",
"city": "DENISON",
"state": "TX",
"postal_code": "750201657",
"telephone_number": "903-463-6979",
"fax_number": "903-463-6379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIS-TENCZAR",
"first_name": "DEBORA",
"middle_name": "LYNN",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-03",
"last_updated": "2013-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "29740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.