Active NPI
Anna Cao
- Pharmacist
- Palestine, TX
National Provider Identifier
1730802489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 37094
- Practice address
- 2107 S Loop 256
Palestine, TX 75801-5919 - Phone
- (903) 723-1092
- Fax
- (903) 729-2652
- NPI assigned
- Sep 19, 2022
- Last updated
- Sep 19, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 37094 | TX | Primary |
Addresses
Primary practice location
2107 S Loop 256
Palestine, TX 75801-5919
Mailing address
2107 South Loop 256
Pharmacy
Palestine, TX 75801
Phone (903) 723-1092
Other practice location 1
227 An County Road 2610
Tennessee Colony, TX 75861-3323
Phone (903) 513-7518
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 |
|---|---|---|---|
| 37094 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1730802489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2107 SOUTH LOOP 256",
"address_2": "PHARMACY",
"city": "PALESTINE",
"state": "TX",
"postal_code": "75801",
"telephone_number": "903-723-1092",
"fax_number": "903-729-2652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2107 S LOOP 256",
"city": "PALESTINE",
"state": "TX",
"postal_code": "758015919",
"telephone_number": "903-723-1092",
"fax_number": "903-729-2652"
}
],
"practiceLocations": [
{
"address_1": "227 An County Road 2610",
"address_purpose": "LOCATION",
"city": "Tennessee Colony",
"state": "TX",
"postal_code": "758613323",
"country_code": "US",
"telephone_number": "903-513-7518",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAO",
"first_name": "ANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-19",
"last_updated": "2022-09-19",
"certification_date": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "TX",
"license": "37094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palestine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.